Olawale Olabiyi, is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Live Oak, Texas. His current practice location is
11485 Toepperwein Rd Ste 2, Live Oak, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 372-7238.
Olawale Olabiyi is licensed to practice in Texas (license number P1575) 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 1861666547.
Physician's Profile
| Full Name | Olawale Olabiyi |
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| Gender | Male |
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| Speciality | Pediatrics - Pediatric Cardiology |
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| Location | 11485 Toepperwein Rd Ste 2, Live Oak, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861666547
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507094786
- Enrollment ID: I20140115000854
Medical Identifiers
Medical identifiers for Olawale Olabiyi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861666547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0202X | Pediatrics - Pediatric Cardiology | P1575 (Texas) | 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. Olawale Olabiyi allows following entities to bill medicare on his behalf.
| Entity Name | Magella Medical Associates Billing Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083631071
PECOS PAC ID: 8729970215
Enrollment ID: O20041115001144 |
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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. Olawale Olabiyi 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 |
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Olawale Olabiyi,
11485 Toepperwein Rd Ste 2,
Live Oak, TX 78233-3144
Ph: (210) 655-4278 | Olawale Olabiyi,
11485 Toepperwein Rd Ste 2,
Live Oak, TX 78233-3144
Ph: (210) 372-7238 |
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