Dr Omoniyi Omotoso, MD, MPH, FAAP in Oakland, CA

Dr Omoniyi Omotoso, MD, MPH, FAAP is a medicare enrolled "Pediatrics" physician in Oakland, California. His current practice location is 2920 International Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 535-4400.

Dr Omoniyi Omotoso is licensed to practice in California (license number 94033) 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 1871875344.

Contact Information

	Dr Omoniyi Omotoso, MD, MPH, FAAP
	2920 International Blvd, Oakland, CA 94601-2228
	(510) 535-4400
	(510) 535-8474

Map and Direction

Physician's Profile

Full Name	Dr Omoniyi Omotoso
Gender	Male
Speciality	Pediatrics
Location	2920 International Blvd, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871875344
Provider Enumeration Date: 09/12/2011
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5991010407
Enrollment ID: I20150812008893

Medical Identifiers

Medical identifiers for Dr Omoniyi Omotoso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871875344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	94033 (California)	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 Omoniyi Omotoso allows following entities to bill medicare on his behalf.

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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 Omoniyi Omotoso 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 Omoniyi Omotoso, MD, MPH, FAAP 2920 International Boulevard, Native American Health Center - Administrative Office, Oakland, CA 94611 Ph: (510) 535-4400	Dr Omoniyi Omotoso, MD, MPH, FAAP 2920 International Blvd, Oakland, CA 94601-2228 Ph: (510) 535-4400

Reviews and Comments

Pediatrics Doctors in Oakland, CA

Mrs. Natalie Plotkin, MS, ACPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3484
Rebecca Romanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3331 Fax: 510-428-3331
Dr. Theodore John Chaconas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3237 Fax: 510-601-3979
Dr. Robert E Mines Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5715 Market St, Oakland, CA 94608 Phone: 510-652-5161 Fax: 510-652-4225
Spencer L Magargal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Dr. Arathi Lakhole, M.D, M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3058
Kristen Lum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000

Dr Omoniyi Omotoso, MD, MPH, FAAP - Medicare Pediatrics in Oakland, CA