Shamusideen Olayibo Ogbulu, MD in Whiteville, NC

Shamusideen Olayibo Ogbulu, MD is a medicare enrolled "Hospitalist" physician in Whiteville, North Carolina. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 500 Jefferson Street, Whiteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 642-1776.

Shamusideen Olayibo Ogbulu is licensed to practice in North Carolina (license number 2011-01350) 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 1144478736.

Contact Information

	Shamusideen Olayibo Ogbulu, MD
	500 Jefferson Street, Whiteville, NC 28472-3634
	(910) 642-1776
	Not Available

Map and Direction

Physician's Profile

Full Name	Shamusideen Olayibo Ogbulu
Gender	Male
Speciality	Internal Medicine
Experience	29 Years
Location	500 Jefferson Street, Whiteville, North Carolina
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:

Shamusideen Olayibo Ogbulu graduated from medical school in 1995

NPI Data:

NPI Number: 1144478736
Provider Enumeration Date: 09/08/2008
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4688741812
Enrollment ID: I20111026000946

Medical Identifiers

Medical identifiers for Shamusideen Olayibo Ogbulu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144478736	NPI	-	NPPES
000000584350	Other	IN	ANTHEM PIN
200913430	Medicaid	IN
NC1486	Medicaid	SC
P00657204	Other	IN	RR MEDICARE PIN
5918627	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01065806A (Indiana)	Secondary
207R00000X	Internal Medicine	2011-01350 (North Carolina)	Secondary
208M00000X	Hospitalist	0101258916 (Virginia)	Secondary
208M00000X	Hospitalist	01065806A (Indiana)	Secondary
208M00000X	Hospitalist	2011-01350 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Roanoke Chowan Hospital	Ahoskie, NC	Hospital
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	850

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. Shamusideen Olayibo Ogbulu allows following entities to bill medicare on his behalf.

Entity Name	Onslow Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679535496 PECOS PAC ID: 1456252899 Enrollment ID: O20040119000016

Entity Name	Cogent Healthcare Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Shamusideen Olayibo Ogbulu 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
Shamusideen Olayibo Ogbulu, MD Po Box 601992, Charlotte, NC 28260-1992 Ph: (910) 642-1776	Shamusideen Olayibo Ogbulu, MD 500 Jefferson Street, Whiteville, NC 28472-3634 Ph: (910) 642-1776

Reviews and Comments

Hospitalist Doctors in Whiteville, NC

Emmanuel Nwamara-aka, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Thomas Michael Duggan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Vellayat Ali, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
David Gearding Jr., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Sandeep Raghow, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Maleah Rachelle Roth, PA Hospitalist Medicare: Medicare Enrolled Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Dr. James E Boston, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776 Fax: 910-642-9305

Shamusideen Olayibo Ogbulu, MD - Medicare Internal Medicine in Whiteville, NC