Opeyemi Ayotunde Ibidapo, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. He went to University Of Virginia School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology P A and his current practice location is
550 First Avenue, Nyu Langone Medical Center, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 263-5506.
Opeyemi Ayotunde Ibidapo is licensed to practice in * (Not Available) (license number ) 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 1336371384.
Physician's Profile
Full Name | Opeyemi Ayotunde Ibidapo |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 15 Years |
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Location | 550 First Avenue, New York, New York |
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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. |
Medical Education and Training:
- Opeyemi Ayotunde Ibidapo attended and graduated from University Of Virginia School Of Medicine in 2009
NPI Data:
- NPI Number: 1336371384
- Provider Enumeration Date: 08/10/2009
- Last Update Date: 06/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 6709175029
- Enrollment ID: I20160510000783
Medical Identifiers
Medical identifiers for Opeyemi Ayotunde Ibidapo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336371384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | P24246 (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Radiology P A | 1254327950 | 135 |
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. Opeyemi Ayotunde Ibidapo allows following entities to bill medicare on his behalf.
Entity Name | Advanced Radiology P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932167178 PECOS PAC ID: 1254327950 Enrollment ID: O20040420001334 |
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Entity Name | University Of Maryland Diagnostic Radiology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467996959 PECOS PAC ID: 0345513248 Enrollment ID: O20170828004107 |
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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. Opeyemi Ayotunde Ibidapo 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 |
Opeyemi Ayotunde Ibidapo, MD 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016-6402 Ph: (212) 263-5506 | Opeyemi Ayotunde Ibidapo, MD 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016-6402 Ph: (212) 263-5506 |
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