Dr Paul Oluwatoyin Odusanya, MD in Kenosha, WI

Dr Paul Oluwatoyin Odusanya, MD is a medicare enrolled "Internal Medicine" physician in Kenosha, Wisconsin. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and his current practice location is 6308 8th Ave, Hospitalist Management Group , United Hospitals, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (201) 238-5395.

Dr Paul Oluwatoyin Odusanya is licensed to practice in Wisconsin (license number 5488-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720395411.

Contact Information

	Dr Paul Oluwatoyin Odusanya, MD
	6308 8th Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031
	(201) 238-5395
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Oluwatoyin Odusanya
Gender	Male
Speciality	Internal Medicine
Experience	26 Years
Location	6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Paul Oluwatoyin Odusanya graduated from medical school in 1998

NPI Data:

NPI Number: 1720395411
Provider Enumeration Date: 09/02/2010
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6608056064
Enrollment ID: I20110202000708

Medical Identifiers

Medical identifiers for Dr Paul Oluwatoyin Odusanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720395411	NPI	-	NPPES
100012065	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	54880-020 (Wisconsin)	Secondary
207R00000X	Internal Medicine	5488-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hospital	Green bay, WI	Hospital
Hshs St Clare Memorial Hospital	Oconto falls, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	546

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 Paul Oluwatoyin Odusanya allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	Baycare Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 Paul Oluwatoyin Odusanya 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 Paul Oluwatoyin Odusanya, MD 201 W 30th St, Apartment 107, Bayonne, NJ 07002-1876 Ph: (120) 123-8539	Dr Paul Oluwatoyin Odusanya, MD 6308 8th Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031 Ph: (201) 238-5395

Reviews and Comments

Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715
Leilane U Sta Romana, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751
Raymond W Knight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Dr. Rodrigo Buencamino Mata Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710
Michael H Zeihen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Zebi Fatima, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600
Timothy A. Sanborn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672

Dr Paul Oluwatoyin Odusanya, MD - Medicare Internal Medicine in Kenosha, WI