Dr Osayande Stephen Izeiyamu, MD - Medicare General Practice in Lake City, FL

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Dr Osayande Stephen Izeiyamu, MD is a medicare enrolled "General Practice" physician in Lake City, Florida. His current practice location is 194 Sw Wall Ter, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 719-9227.

Dr Osayande Stephen Izeiyamu is licensed to practice in Florida (license number ACN634) 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 1255698619.

Contact Information

Dr Osayande Stephen Izeiyamu, MD
194 Sw Wall Ter,
Lake City, FL 32025-5086
(386) 719-9227
(386) 719-9488

Map and Direction




Physician's Profile

Full NameDr Osayande Stephen Izeiyamu
GenderMale
SpecialityGeneral Practice
Location194 Sw Wall Ter, Lake City, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255698619
  • Provider Enumeration Date: 04/23/2012
  • Last Update Date: 01/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739409483
  • Enrollment ID: I20150520000378

Medical Identifiers

Medical identifiers for Dr Osayande Stephen Izeiyamu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255698619NPI-NPPES
014632400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine BP10043366 (Texas)Secondary
208D00000XGeneral Practice ACN634 (Florida)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 Osayande Stephen Izeiyamu allows following entities to bill medicare on his behalf.
Entity NameOrigins Family Medical & Weight Loss Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962835306
PECOS PAC ID: 4688808520
Enrollment ID: O20131220001112

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 Osayande Stephen Izeiyamu 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 AddressPractice Location Address
Dr Osayande Stephen Izeiyamu, MD
194 Sw Wall Ter,
Lake City, FL 32025-5086

Ph: (386) 719-9227		Dr Osayande Stephen Izeiyamu, MD
194 Sw Wall Ter,
Lake City, FL 32025-5086

Ph: (386) 719-9227

Reviews and Comments


General Practice Doctors in Lake City, FL

Donald Brent Hayden, MD
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 733 Sw State Road 47, Lake City, FL 32025
Phone: 386-755-0645    Fax: 386-961-9541
Dr. Jose Raul Garriga-diaz I, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 7906 E Us Highway 90, Lake City, FL 32055
Phone: 386-755-3379    Fax: 386-752-2242
Karymar Del Valle Serrano, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 619 S Marion Ave, Lake City, FL 32025
Phone: 386-755-3016    Fax: 386-719-3622
Dr. Pedro Josue De Leon Reyes, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 619 S Marion Ave, Lake City, FL 32025
Phone: 386-755-3016    
Dr. Kelly J. Lemaire, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 1037 W Us Highway 90 Ste 130, Lake City, FL 32055
Phone: 386-487-6357    
Dr. Joseph Hernandez, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 826 Sw Main Blvd Ste 102, Lake City, FL 32025
Phone: 386-754-0600    Fax: 386-755-9737
Dr. Eric Alberto Marquez Guerra, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 348 Ne Methodist Ter, Lake City, FL 32055
Phone: 386-292-7844    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.