Dr Adekunle Elegbede, MD, PHD is a medicare enrolled "Plastic Surgery" provider in Jacksonville, Florida. His current practice location is
4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 953-2000.
Dr Adekunle Elegbede is licensed to practice in Florida (license number ME163182) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629404603.
Healthcare Provider's Profile
Full Name | Dr Adekunle Elegbede |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 4500 San Pablo Rd S, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629404603
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446562615
- Enrollment ID: I20230803003536
Medical Identifiers
Medical identifiers for Dr Adekunle Elegbede such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629404603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 03230465 (Ohio) | Secondary |
208200000X | Plastic Surgery | T5554 (Texas) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | T5554 (Texas) | Secondary |
208200000X | Plastic Surgery | ME163182 (Florida) | 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. Dr Adekunle Elegbede allows following entities to bill medicare on his behalf.
Entity Name | Mayo Clinic Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
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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. Dr Adekunle Elegbede 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 |
Dr Adekunle Elegbede, MD, PHD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Dr Adekunle Elegbede, MD, PHD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
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