Samuel Olaniyi Bada, MD - Medicare Internal Medicine in Jackson, TN

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Samuel Olaniyi Bada, MD is a medicare enrolled "Internal Medicine" physician in Jackson, Tennessee. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ultimate Health Clinic Pc and his current practice location is 1673 N Royal St, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 265-1997.

Samuel Olaniyi Bada is licensed to practice in Tennessee (license number MD34358) 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 1770530586.

Contact Information

Samuel Olaniyi Bada, MD
1673 N Royal St,
Jackson, TN 38301-3607
(731) 265-1997
(731) 265-0511

Map and Direction




Physician's Profile

Full NameSamuel Olaniyi Bada
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location1673 N Royal St, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Olaniyi Bada graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1770530586
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 10/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466419783
  • Enrollment ID: I20041217000371

Medical Identifiers

Medical identifiers for Samuel Olaniyi Bada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770530586NPI-NPPES
3833490MedicaidTN
3858256MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD34358 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareJackson, TNHome health agency
Medical Center Home HealthJackson, TNHome health agency
Jackson-madison County General HospitalJackson, TNHospital
Pine Meadows Health CareBolivar, TNNursing home
Mission Convalescent HomeJackson, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ultimate Health Clinic Pc80221947032

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. Samuel Olaniyi Bada allows following entities to bill medicare on his behalf.
Entity NameUltimate Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669567707
PECOS PAC ID: 8022194703
Enrollment ID: O20080320000280
Entity NameCah Acquisition Company 11 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992069538
PECOS PAC ID: 6002084399
Enrollment ID: O20110712000183
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20190830001905
Entity NameConcord Medical Group Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20191118000999

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. Samuel Olaniyi Bada 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 AddressPractice Location Address
Samuel Olaniyi Bada, MD
1673 N Royal St,
Jackson, TN 38301-3607

Ph: (731) 265-1997		Samuel Olaniyi Bada, MD
1673 N Royal St,
Jackson, TN 38301-3607

Ph: (731) 265-1997

Reviews and Comments


Internal Medicine Doctors in Jackson, TN

John Baker, MD
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Phone: 731-421-6510    Fax: 731-421-6500
Dr. Susan Alex, M.D.
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Phone: 731-668-4337    Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D.
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Kpienoba Manan Hien, M.D
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Lucas Carver,
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Phone: 731-541-5000    
Dr. Clyde E Smith, M.D.
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Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    
Brittain Douglas Little, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    Fax: 731-426-0388

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.