Dr Temidayo Olugbenga Odugbesan, MD, SA-C is a
Student In An Organized Health Care Education/training Program based in Montgomery, Alabama. Dr Temidayo Olugbenga Odugbesan is licensed to practice in * (Not Available) (license number ) and his current practice location is
6117 Boardwalk Blvd Apt J, Montgomery, Alabama. He can be reached at his office (for appointments etc.) via phone at
(872) 806-4250.
NPI number for Dr Temidayo Olugbenga Odugbesan is 1477909448 and his current mailing address is 2024 Chestnut St, Montgomery, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477909448.
Provider's Profile
| Full Name | Dr Temidayo Olugbenga Odugbesan |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 6117 Boardwalk Blvd Apt J, Montgomery, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477909448
- Provider Enumeration Date: 05/10/2016
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Dr Temidayo Olugbenga Odugbesan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477909448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 238.000495 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Temidayo Olugbenga Odugbesan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Temidayo Olugbenga Odugbesan, MD, SA-C
2024 Chestnut St,
Montgomery, AL 36106-1111
Ph: (334) 440-3061 | Dr Temidayo Olugbenga Odugbesan, MD, SA-C
6117 Boardwalk Blvd Apt J,
Montgomery, AL 36117-2812
Ph: (872) 806-4250 |
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