Dr Olugbemiga A Osoba, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Peachtree Corners, Georgia. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is
4028 Holcomb Bridge Rd Ste 204, Peachtree Corners, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 953-5348.
Dr Olugbemiga A Osoba is licensed to practice in Georgia (license number 59300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578623443.
Physician's Profile
| Full Name | Dr Olugbemiga A Osoba |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 29 Years |
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| Location | 4028 Holcomb Bridge Rd Ste 204, Peachtree Corners, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Olugbemiga A Osoba graduated from medical school in 1995
NPI Data:
- NPI Number: 1578623443
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375518087
- Enrollment ID: I20240219001164
Medical Identifiers
Medical identifiers for Dr Olugbemiga A Osoba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578623443 | NPI | - | NPPES |
| OO074832 | Other | | CHAMPUS-CHAMPUS |
| 7509104450 | Other | | BLUE CROSS-BLUE CROSS |
| 974647115F | Medicaid | GA | |
| OO074832 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M9561 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA11605600 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 59300 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1166 |
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 Olugbemiga A Osoba allows following entities to bill medicare on his behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524 |
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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 Olugbemiga A Osoba 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 Address | Practice Location Address |
|---|
Dr Olugbemiga A Osoba, MD
4780 Ashford Dunwoody Rd Ste 621a,
Atlanta, GA 30338-5564
Ph: (404) 953-5348 | Dr Olugbemiga A Osoba, MD
4028 Holcomb Bridge Rd Ste 204,
Peachtree Corners, GA 30092-4600
Ph: (404) 953-5348 |
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