Dr Olutayo Temitope Imevbore, MD in New Haven, CT

Dr Olutayo Temitope Imevbore, MD is a medicare enrolled "Hospitalist" physician in New Haven, Connecticut. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Northeast Medical Group Inc and her current practice location is 20 York St # Cb-2041, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 688-4748.

Dr Olutayo Temitope Imevbore is licensed to practice in Connecticut (license number 042354) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750447421.

Contact Information

	Dr Olutayo Temitope Imevbore, MD
	20 York St # Cb-2041, New Haven, CT 06504-8900
	(203) 688-4748
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Olutayo Temitope Imevbore
Gender	Female
Speciality	Hospitalist
Experience	29 Years
Location	20 York St # Cb-2041, New Haven, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Olutayo Temitope Imevbore graduated from medical school in 1995

NPI Data:

NPI Number: 1750447421
Provider Enumeration Date: 12/28/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2365415478
Enrollment ID: I20040817000812

Medical Identifiers

Medical identifiers for Dr Olutayo Temitope Imevbore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750447421	NPI	-	NPPES
042354	Other	CT	CT PHYSICIAN LICENSE
001423540	Medicaid	CT
35237	Other	CT	CT CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	042354 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yale-new Haven Hospital	New haven, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244

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 Olutayo Temitope Imevbore allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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 Olutayo Temitope Imevbore 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 Olutayo Temitope Imevbore, MD 20 York St, Cb-2041, New Haven, CT 06504-8900 Ph: (203) 688-4748	Dr Olutayo Temitope Imevbore, MD 20 York St # Cb-2041, New Haven, CT 06504-8900 Ph: (203) 688-4748

Reviews and Comments

Hospitalist Doctors in New Haven, CT

Teresa Joseph, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-737-8894
Alexander B Pine, MD, PHD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740
Alina Rakhuba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740
Omar Yasser Abed Shakhtour, MBBS Hospitalist Medicare: Medicare Enrolled Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 036-884-7482 Fax: 036-884-7402
Dr. Deepti Canchi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740
Dr. Nidhi Shah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740
Dr. Rupert Dogbey, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3034

Dr Olutayo Temitope Imevbore, MD - Medicare Hospitalist in New Haven, CT