Dr Timi I Edeki, MD in Philadelphia, PA - Medicare Internal Medicine

Dr Timi I Edeki, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 930 Washington Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 627-8000.

Dr Timi I Edeki is licensed to practice in Pennsylvania (license number MD433515) 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 1962647644.

Contact Information

	Dr Timi I Edeki, MD
	930 Washington Ave, Philadelphia, PA 19147-3840
	(215) 627-8000
	(215) 627-9265

Map and Direction

Physician's Profile

Full Name	Dr Timi I Edeki
Gender	Male
Speciality	Internal Medicine
Location	930 Washington Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962647644
Provider Enumeration Date: 12/09/2008
Last Update Date: 11/01/2016

Medicare PECOS Information:

PECOS PAC ID: 3274780366
Enrollment ID: I20120824000139

Medical Identifiers

Medical identifiers for Dr Timi I Edeki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962647644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD433515 (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 Timi I Edeki allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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 Timi I Edeki 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 Timi I Edeki, MD 1401 S 31st St, 2nd Floor, Philadelphia, PA 19146-3506 Ph: (215) 925-2400	Dr Timi I Edeki, MD 930 Washington Ave, Philadelphia, PA 19147-3840 Ph: (215) 627-8000

Reviews and Comments

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Dr Timi I Edeki, MD - Medicare Internal Medicine in Philadelphia, PA