Dr Olugbenga Adedipe, MD - Medicare Pediatrics in Tunica, MS

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Dr Olugbenga Adedipe, MD is a medicare enrolled "Pediatrics" physician in Tunica, Mississippi. His current practice location is 1820 Peabody St, Tunica, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 363-3656.

Dr Olugbenga Adedipe is licensed to practice in Mississippi (license number 20415) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720088016.

Contact Information

Dr Olugbenga Adedipe, MD
1820 Peabody St,
Tunica, MS 38676-9441
(662) 363-3656
(662) 363-3789

Map and Direction




Physician's Profile

Full NameDr Olugbenga Adedipe
GenderMale
SpecialityPediatrics
Location1820 Peabody St, Tunica, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720088016
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 03/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5890846125
  • Enrollment ID: I20090929000683

Medical Identifiers

Medical identifiers for Dr Olugbenga Adedipe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720088016NPI-NPPES
02635095MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 20415 (Mississippi)Primary

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 Olugbenga Adedipe allows following entities to bill medicare on his behalf.
Entity NameProgressive Medical Management Of Batesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700349222
PECOS PAC ID: 0345583225
Enrollment ID: O20191114002265

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 Olugbenga Adedipe 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 Olugbenga Adedipe, MD
510 Highway 322, P O Box 1216,
Clarksdale, MS 38614-4717

Ph: (662) 624-4292		Dr Olugbenga Adedipe, MD
1820 Peabody St,
Tunica, MS 38676-9441

Ph: (662) 363-3656

Reviews and Comments


Pediatrics Doctors in Tunica, MS


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.