Dr Olufunmilola Modupe Ogbonlowo, MD - Medicare Family Practice in Lansdowne, VA

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Dr Olufunmilola Modupe Ogbonlowo, MD is a medicare enrolled "Family Medicine" physician in Lansdowne, Virginia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. Her current practice location is 19465 Deerfield Ave Ste 309, Lansdowne, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 293-2424.

Dr Olufunmilola Modupe Ogbonlowo is licensed to practice in Virginia (license number 0101263837) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1174926679.

Contact Information

Dr Olufunmilola Modupe Ogbonlowo, MD
19465 Deerfield Ave Ste 309,
Lansdowne, VA 20176-1705
(571) 293-2424
(972) 947-5370

Map and Direction




Physician's Profile

Full NameDr Olufunmilola Modupe Ogbonlowo
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location19465 Deerfield Ave Ste 309, Lansdowne, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Olufunmilola Modupe Ogbonlowo graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1174926679
  • Provider Enumeration Date: 09/29/2014
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385993138
  • Enrollment ID: I20180828000936

Medical Identifiers

Medical identifiers for Dr Olufunmilola Modupe Ogbonlowo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174926679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101263837 (Virginia)Primary
174N00000XLactation Consultant, Non-rn 10421511 (Virginia)Secondary
207Q00000XFamily Medicine 4301107153 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Loudoun HospitalLeesburg, VAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Olufunmilola Modupe Ogbonlowo allows following entities to bill medicare on her behalf.
Entity NamePatient First Richmond Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689603748
PECOS PAC ID: 9931011434
Enrollment ID: O20031103000500
Entity NameValley Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278
Entity NameLighthouse Family Medicine And Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164003752
PECOS PAC ID: 3072922574
Enrollment ID: O20210513002260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Olufunmilola Modupe Ogbonlowo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Olufunmilola Modupe Ogbonlowo, MD
19465 Deerfield Ave Ste 309,
Lansdowne, VA 20176-1705

Ph: (571) 293-2424		Dr Olufunmilola Modupe Ogbonlowo, MD
19465 Deerfield Ave Ste 309,
Lansdowne, VA 20176-1705

Ph: (571) 293-2424

Reviews and Comments


Family Medicine Doctors in Lansdowne, VA

Ronald Axel Larsen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18767 Thomas Lee Way, Lansdowne, VA 20176
Phone: 571-333-2270    
Paulos Dereje Abebe, PA-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19415 Deerfield Ave Ste 301, Lansdowne, VA 20176
Phone: 571-367-0000    
Qudsia Iqbal Malik, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19450 Deerfield Ave, Suite 150, Lansdowne, VA 20176
Phone: 703-858-9192    Fax: 703-858-9442

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.