Kolade Kehinde Obajuluwa, MD in Douglasville, GA

Kolade Kehinde Obajuluwa, MD is a medicare enrolled "Pediatrics" physician in Douglasville, Georgia. His current practice location is 6043 Prestley Mill Rd Ste E, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 920-2255.

Kolade Kehinde Obajuluwa is licensed to practice in Illinois (license number 036127051) 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 1184859027.

Contact Information

	Kolade Kehinde Obajuluwa, MD
	6043 Prestley Mill Rd Ste E, Douglasville, GA 30134-2280
	(770) 920-2255
	(770) 489-3951

Map and Direction

Physician's Profile

Full Name	Kolade Kehinde Obajuluwa
Gender	Male
Speciality	Pediatrics
Location	6043 Prestley Mill Rd Ste E, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184859027
Provider Enumeration Date: 05/21/2009
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3274701313
Enrollment ID: I20161116002469

Medical Identifiers

Medical identifiers for Kolade Kehinde Obajuluwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184859027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036127051 (Illinois)	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. Kolade Kehinde Obajuluwa allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Kolade Kehinde Obajuluwa 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
Kolade Kehinde Obajuluwa, MD 6043 Prestley Mill Rd Ste E, Douglasville, GA 30134-2280 Ph: (770) 920-2255	Kolade Kehinde Obajuluwa, MD 6043 Prestley Mill Rd Ste E, Douglasville, GA 30134-2280 Ph: (770) 920-2255

Reviews and Comments

Pediatrics Doctors in Douglasville, GA

Dr. Abolhassan Yamin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8503 Campbellton St, Douglasville, GA 30134 Phone: 770-949-9985 Fax: 770-949-6213
Dr. Bridget Dauphin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Dr. Suzanne Lee Fox, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Dr. Eteshamul Huque, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Edgar Melendez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8355 Cherokee Blvd Ste 200, Douglasville, GA 30134 Phone: 678-400-5106
Yassmin Ahmed Yousef, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963

Kolade Kehinde Obajuluwa, MD - Medicare Pediatrics in Douglasville, GA