Oluwadamilare Olalekan Ajayi, MD in Portland, OR

Oluwadamilare Olalekan Ajayi, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Portland, Oregon. His current practice location is 3303 S Bond Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 418-3376.

Oluwadamilare Olalekan Ajayi is licensed to practice in Oregon (license number MD215961) 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 1063948487.

Contact Information

	Oluwadamilare Olalekan Ajayi, MD
	3303 S Bond Ave, Portland, OR 97239-4501
	(503) 418-3376
	(503) 494-6968

Map and Direction

Physician's Profile

Full Name	Oluwadamilare Olalekan Ajayi
Gender	Male
Speciality	Dermatology - Dermatopathology
Location	3303 S Bond Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063948487
Provider Enumeration Date: 05/04/2017
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 1557632262
Enrollment ID: I20230711001067

Medical Identifiers

Medical identifiers for Oluwadamilare Olalekan Ajayi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063948487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	MD215961 (Oregon)	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. Oluwadamilare Olalekan Ajayi allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Oluwadamilare Olalekan Ajayi 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
Oluwadamilare Olalekan Ajayi, MD 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855	Oluwadamilare Olalekan Ajayi, MD 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-3376

Reviews and Comments

Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504

Oluwadamilare Olalekan Ajayi, MD - Medicare Dermatology in Portland, OR