Dr Oluwaseun Adelanke Adetayo, MD in Loma Linda, CA

Dr Oluwaseun Adelanke Adetayo, MD is a medicare enrolled "Plastic Surgery" physician in Loma Linda, California. Her current practice location is 11234 Anderson St, Llumc House Staff Office Cp 21005, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4000.

Dr Oluwaseun Adelanke Adetayo is licensed to practice in Wisconsin (license number 3829) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710190285.

Contact Information

	Dr Oluwaseun Adelanke Adetayo, MD
	11234 Anderson St, Llumc House Staff Office Cp 21005, Loma Linda, CA 92354-2804
	(909) 558-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Oluwaseun Adelanke Adetayo
Gender	Female
Speciality	Plastic Surgery
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710190285
Provider Enumeration Date: 05/08/2007
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6507029444
Enrollment ID: I20240117002754

Medical Identifiers

Medical identifiers for Dr Oluwaseun Adelanke Adetayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710190285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	3829 (Wisconsin)	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 Oluwaseun Adelanke Adetayo allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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 Oluwaseun Adelanke Adetayo 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 Oluwaseun Adelanke Adetayo, MD 11234 Anderson St, Llumc House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: () -	Dr Oluwaseun Adelanke Adetayo, MD 11234 Anderson St, Llumc House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: (909) 558-4000

Reviews and Comments

Plastic Surgery Doctors in Loma Linda, CA

Janine Myint, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8085
Dr. Frank R Rogers, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822
Ghada Afifi, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6064 Fax: 909-777-3291
Dr. Hahns Y Kim, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Suite 21126, Loma Linda, CA 92354 Phone: 909-558-8085

Dr Oluwaseun Adelanke Adetayo, MD - Medicare Plastic Surgery in Loma Linda, CA