Dr Olusola Olasupo Adegoke, MD MPH in Apple Valley, MN

Dr Olusola Olasupo Adegoke, MD MPH is a medicare enrolled "Family Medicine" physician in Apple Valley, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healthpartners Medical Group, St. Croix Regional Medical Center and his current practice location is 15290 Pennock Ln, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 853-8800.

Dr Olusola Olasupo Adegoke is licensed to practice in Minnesota (license number 59639) 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 1619311586.

Contact Information

	Dr Olusola Olasupo Adegoke, MD MPH
	15290 Pennock Ln, Apple Valley, MN 55124-7163
	(952) 853-8800
	(952) 431-6966

Map and Direction

Physician's Profile

Full Name	Dr Olusola Olasupo Adegoke
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	15290 Pennock Ln, Apple Valley, Minnesota
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 Olusola Olasupo Adegoke graduated from medical school in 2005

NPI Data:

NPI Number: 1619311586
Provider Enumeration Date: 04/23/2013
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0547578932
Enrollment ID: I20151005002194

Medical Identifiers

Medical identifiers for Dr Olusola Olasupo Adegoke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619311586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	59639 (Minnesota)	Primary
207Q00000X	Family Medicine	65487 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital
St Croix Regional Medical Ctr	Saint croix falls, WI	Hospital
Lakeview Memorial Hospital	Stillwater, MN	Hospital
Westfields Hospital And Clinic	New richmond, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1429
St. Croix Regional Medical Center	9335032184	147

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 Olusola Olasupo Adegoke allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Hutchinson Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695

Entity Name	Healthpartners Rc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378

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 Olusola Olasupo Adegoke 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 Olusola Olasupo Adegoke, MD MPH 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () -	Dr Olusola Olasupo Adegoke, MD MPH 15290 Pennock Ln, Apple Valley, MN 55124-7163 Ph: (952) 853-8800

Reviews and Comments

Family Medicine Doctors in Apple Valley, MN

Jeffrey R Michell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4177
Stephen Joseph Craane, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966
Todd Joseph Stolpman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-432-6161 Fax: 952-432-7019
Holly A Hett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-432-6161 Fax: 952-432-7019
David P Dillon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966
April Coming Hay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100
Christopher Balgobin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100

Dr Olusola Olasupo Adegoke, MD MPH - Medicare Family Practice in Apple Valley, MN