Dr Omotayo Ayonike Idera-abdullah, MD is a medicare enrolled "Pediatrics" physician in Fort Rucker, Alabama. Her current practice location is
301 Andrews Avenue, Fort Rucker, Alabama. You can reach out to her office (for appointments etc.) via phone at
(344) 255-7137.
Dr Omotayo Ayonike Idera-abdullah is licensed to practice in Florida (license number ME119515) 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 1790942308.
Physician's Profile
Full Name | Dr Omotayo Ayonike Idera-abdullah |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 301 Andrews Avenue, Fort Rucker, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790942308
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 09/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345464111
- Enrollment ID: I20140617002441
Medical Identifiers
Medical identifiers for Dr Omotayo Ayonike Idera-abdullah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790942308 | NPI | - | NPPES |
012049700 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME119515 (Florida) | Primary |
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 Omotayo Ayonike Idera-abdullah 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 Omotayo Ayonike Idera-abdullah, MD 301 Andrews Ave, Fort Rucker, AL 36362-5333 Ph: (334) 255-7000 | Dr Omotayo Ayonike Idera-abdullah, MD 301 Andrews Avenue, Fort Rucker, AL 36362-5333 Ph: (344) 255-7137 |
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