Dr Omotola O Balogun, MD in Wynnewood, PA - Medicare Internal Medicine

Dr Omotola O Balogun, MD is a medicare enrolled "Internal Medicine" physician in Wynnewood, Pennsylvania. Her current practice location is 100 E Lancaster Ave Ste 4303, Wynnewood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 476-4139.

Dr Omotola O Balogun is licensed to practice in Pennsylvania (license number MD4819834) 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 1982221750.

Contact Information

	Dr Omotola O Balogun, MD
	100 E Lancaster Ave Ste 4303, Wynnewood, PA 19096-3450
	(484) 476-4139
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Omotola O Balogun
Gender	Female
Speciality	Internal Medicine
Location	100 E Lancaster Ave Ste 4303, Wynnewood, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982221750
Provider Enumeration Date: 06/28/2020
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2264886027
Enrollment ID: I20230927002069

Medical Identifiers

Medical identifiers for Dr Omotola O Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982221750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD481834 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	MD4819834 (Pennsylvania)	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 Omotola O Balogun allows following entities to bill medicare on her behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Trinity Health Mid-atlantic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613

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 Omotola O Balogun 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 Omotola O Balogun, MD 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1667	Dr Omotola O Balogun, MD 100 E Lancaster Ave Ste 4303, Wynnewood, PA 19096-3450 Ph: (484) 476-4139

Reviews and Comments

Internal Medicine Doctors in Wynnewood, PA

Dr. Akhnuwkh Jones, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2000
Amanda B Christini, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, 4 Pavilion, Suite 4303, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149
Daniel Wang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, 4 Pavilion Ste 4303, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149
Margaret Mack, Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-3796
Xiaoling Yu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-6421
Dr. Eric Marc Russell, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2000
Dr. Jeremy Winthrop Gelber, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 330 Aubrey Rd, Wynnewood, PA 19096 Phone: 610-642-3999

Dr Omotola O Balogun, MD - Medicare Internal Medicine in Wynnewood, PA