Dr Oluseyi Fadegbola Ogundimu, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Sullivan, Missouri. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Pain Management Associates Llc, Anesthesia Associates Of Cincinnati, Inc, Southwest Ohio Anesthesia Consultants Llc and his current practice location is
661 Fisher Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 860-3000.
Dr Oluseyi Fadegbola Ogundimu is licensed to practice in Missouri (license number 2014010100) 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 1700016250.
Physician's Profile
Full Name | Dr Oluseyi Fadegbola Ogundimu |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 16 Years |
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Location | 661 Fisher Dr, Sullivan, Missouri |
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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. |
Medical Education and Training:
- Dr Oluseyi Fadegbola Ogundimu graduated from medical school in 2008
NPI Data:
- NPI Number: 1700016250
- Provider Enumeration Date: 07/17/2009
- Last Update Date: 07/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 1153553003
- Enrollment ID: I20190624003133
Medical Identifiers
Medical identifiers for Dr Oluseyi Fadegbola Ogundimu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700016250 | NPI | - | NPPES |
1700016250 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 2014010100 (Missouri) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 4301103019 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pain Management Associates Llc | 1456254812 | 14 |
Anesthesia Associates Of Cincinnati, Inc | 4789598509 | 118 |
Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 355 |
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 Oluseyi Fadegbola Ogundimu allows following entities to bill medicare on his behalf.
Entity Name | Anesthesia Associates Of Cincinnati, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
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Entity Name | Southwest Ohio Anesthesia Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
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Entity Name | Pain Management Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699775536 PECOS PAC ID: 1456254812 Enrollment ID: O20040202000116 |
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Entity Name | Sandusky Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
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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 Oluseyi Fadegbola Ogundimu 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 Oluseyi Fadegbola Ogundimu, MD 190 Industrial Dr, Festus, MO 63028-4133 Ph: (636) 777-2245 | Dr Oluseyi Fadegbola Ogundimu, MD 661 Fisher Dr, Sullivan, MO 63080-1533 Ph: (573) 860-3000 |
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