Dr Segun Toyin Dawodu, MD, JD, MBA, LLM, MS is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gettysburg, Pennsylvania. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Wellspan Medical Group and his current practice location is
40 V Twin Dr, Suite 205, Gettysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 339-2790.
Dr Segun Toyin Dawodu is licensed to practice in Pennsylvania (license number MD071276L) 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 1003800053.
Physician's Profile
| Full Name | Dr Segun Toyin Dawodu |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 40 Years |
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| Location | 40 V Twin Dr, Gettysburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Segun Toyin Dawodu graduated from medical school in 1984
NPI Data:
- NPI Number: 1003800053
- Provider Enumeration Date: 09/06/2005
- Last Update Date: 11/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385623958
- Enrollment ID: I20150311001146
Medical Identifiers
Medical identifiers for Dr Segun Toyin Dawodu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003800053 | NPI | - | NPPES |
| 102524 | Other | VA | ANTHEM BCBS |
| 67512780-01 | Other | MD | CIGNA |
| 7767187 | Other | MD | AETNA |
| F216 | Other | MD | BCBS |
| 102996450 | Medicaid | PA | |
| 699631100 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | MD071276L (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | D56237 (Maryland) | Secondary |
| 2081P0004X | Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine | D56237 (Maryland) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD071276L (Pennsylvania) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | D56237 (Maryland) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 0101227545 (Virginia) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | D56237 (Maryland) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | MD071276L (Pennsylvania) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | D56237 (Maryland) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD071276L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 1966 |
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 Segun Toyin Dawodu allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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| Entity Name | The Gettysburg Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366472706
PECOS PAC ID: 2769373331
Enrollment ID: O20040323000809 |
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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 Segun Toyin Dawodu 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 Segun Toyin Dawodu, MD, JD, MBA, LLM, MS
3421 Concord Rd,
York, PA 17402-9001
Ph: (717) 339-2790 | Dr Segun Toyin Dawodu, MD, JD, MBA, LLM, MS
40 V Twin Dr, Suite 205,
Gettysburg, PA 17325-7875
Ph: (717) 339-2790 |
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