Adebola Temitope Ifafore, MD in Tyler, TX - Medicare Emergency Medicine

Adebola Temitope Ifafore, MD is a medicare enrolled "Emergency Medicine" physician in Tyler, Texas. Her current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 531-5000.

Adebola Temitope Ifafore is licensed to practice in Texas (license number P4966) 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 1124296132.

Contact Information

	Adebola Temitope Ifafore, MD
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 531-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Adebola Temitope Ifafore
Gender	Female
Speciality	Emergency Medicine
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124296132
Provider Enumeration Date: 02/12/2008
Last Update Date: 08/07/2015

Medicare PECOS Information:

PECOS PAC ID: 5395818447
Enrollment ID: I20130820000081

Medical Identifiers

Medical identifiers for Adebola Temitope Ifafore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124296132	NPI	-	NPPES
323250604	Medicaid	TX
P01246225	Other	TX	RAIL ROAD
323250602	Medicaid	TX
8DQ931	Other	TX	BCBS
8DQ932	Other	TX	BCBS
P01246215	Other	TX	RAIL ROAD
P01246267	Other	TX	RAIL ROAD
P01478949	Other	TX	RAIL ROAD
8DP930	Other	TX	BCBS
323250603	Medicaid	TX
323250601	Medicaid	TX
8FB278	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	P4966 (Texas)	Primary
207P00000X	Emergency Medicine	046170 (Connecticut)	Secondary

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. Adebola Temitope Ifafore allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

Entity Name	Northeast Texas Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225

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. Adebola Temitope Ifafore 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
Adebola Temitope Ifafore, MD Po Box 841656, Dallas, TX 75284-7522 Ph: (903) 531-5000	Adebola Temitope Ifafore, MD 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-5000

Reviews and Comments

Emergency Medicine Doctors in Tyler, TX

James Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4262
Dr. Shawn D Pierce, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 833 S Beckham Ave, Tyler, TX 75701 Phone: 903-780-4396
Dr. James Michael Wilson, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Dr. Dallas Wright, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 Fax: 903-531-5097
Everett Dean Holley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262
Dr. Jackie Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 Fax: 903-592-5282
Steven W Cooley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703 Phone: 903-574-4341

Adebola Temitope Ifafore, MD - Medicare Emergency Medicine in Tyler, TX