Eromosele Anthony Otoadese, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Waterloo, Iowa. His current practice location is
1753 W Ridgeway Ave Ste 111, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(219) 233-6211.
Eromosele Anthony Otoadese is licensed to practice in Iowa (license number 28663) 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 1013960129.
Physician's Profile
| Full Name | Eromosele Anthony Otoadese |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1753 W Ridgeway Ave Ste 111, Waterloo, Iowa |
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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:
- Eromosele Anthony Otoadese attended and graduated from in
NPI Data:
- NPI Number: 1013960129
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 04/29/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Eromosele Anthony Otoadese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013960129 | NPI | - | NPPES |
| 46994 | Other | IA | WELLMARK INS PLAN |
| 2091736 | Medicaid | IA | |
| 421417307C4 | Other | IA | JOHN DEERE HEALTH INS PLA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 28663 (Iowa) | Primary |
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. Eromosele Anthony Otoadese 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 |
|---|
Eromosele Anthony Otoadese, MD
Po Box 2660,
Waterloo, IA 50704-2660
Ph: (319) 233-6621 | Eromosele Anthony Otoadese, MD
1753 W Ridgeway Ave Ste 111,
Waterloo, IA 50701-4588
Ph: (219) 233-6211 |
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