Osayamen O Omoruyi, MD in Playa Vista, CA

Osayamen O Omoruyi, MD is a medicare enrolled "Family Medicine" physician in Playa Vista, California. Her current practice location is 12746 W Jefferson Blvd # 3000, Playa Vista, California. You can reach out to her office (for appointments etc.) via phone at (424) 315-2452.

Osayamen O Omoruyi is licensed to practice in California (license number A163248) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467814582.

Contact Information

	Osayamen O Omoruyi, MD
	12746 W Jefferson Blvd # 3000, Playa Vista, CA 90094-2885
	(424) 315-2452
	Not Available

Map and Direction

Physician's Profile

Full Name	Osayamen O Omoruyi
Gender	Female
Speciality	Family Medicine
Location	12746 W Jefferson Blvd # 3000, Playa Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467814582
Provider Enumeration Date: 03/28/2016
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3678867744
Enrollment ID: I20210920002513

Medical Identifiers

Medical identifiers for Osayamen O Omoruyi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467814582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME146315 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	A163248 (California)	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. Osayamen O Omoruyi allows following entities to bill medicare on her behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189

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. Osayamen O Omoruyi 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
Osayamen O Omoruyi, MD 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791	Osayamen O Omoruyi, MD 12746 W Jefferson Blvd # 3000, Playa Vista, CA 90094-2885 Ph: (424) 315-2452

Reviews and Comments

Family Medicine Doctors in Playa Vista, CA

Dr. Thu Nguyen Howell, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 6020 Seabluff Dr, Suite 1, Playa Vista, CA 90094 Phone: 310-862-0400
Audrey Sui, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12746 W Jefferson Blvd # 3000, Playa Vista, CA 90094 Phone: 424-315-2343
Dr. Alia Matthews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6020 Seabluff Dr, Suite 1, Playa Vista, CA 90094 Phone: 310-862-0400 Fax: 310-862-0402
Dr. Nasa Valentine, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6020 Seabluff Dr, Playa Vista, CA 90094 Phone: 310-862-0400
Dr. Eginia Franco, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12746 W Jefferson Blvd Ste 2000, Playa Vista, CA 90094 Phone: 424-315-2220 Fax: 424-315-2221
Mr. George A Joseph, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6020 Seabluff Dr, Suite 1, Playa Vista, CA 90094 Phone: 310-862-0400 Fax: 310-862-0402

Osayamen O Omoruyi, MD - Medicare Family Medicine in Playa Vista, CA