Olufemi Adeleye, MD in Southaven, MS

Olufemi Adeleye, MD is a medicare enrolled "Specialist" physician in Southaven, Mississippi. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kidney Disease Consultants, P.c., Kidney Disease Consultants, P.c. and his current practice location is 1890 Goodman Rd E, Suite 101, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 536-1892.

Olufemi Adeleye is licensed to practice in Mississippi (license number 18315) 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 1073567251.

Contact Information

	Olufemi Adeleye, MD
	1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504
	(662) 536-1892
	Not Available

Map and Direction

Physician's Profile

Full Name	Olufemi Adeleye
Gender	Male
Speciality	Nephrology
Experience	43 Years
Location	1890 Goodman Rd E, Southaven, Mississippi
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:

Olufemi Adeleye graduated from medical school in 1981

NPI Data:

NPI Number: 1073567251
Provider Enumeration Date: 05/20/2006
Last Update Date: 10/12/2011

Medicare PECOS Information:

PECOS PAC ID: 4183612062
Enrollment ID: I20040513001506

Medical Identifiers

Medical identifiers for Olufemi Adeleye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073567251	NPI	-	NPPES
06180721	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	18315 (Mississippi)	Secondary
174400000X	Specialist	18315 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deschutes Dialysis, Llc	Memphis, TN	Dialysis facility
Davita State Line	Memphis, TN	Dialysis facility
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kidney Disease Consultants, P.c.	6103814082	2
Kidney Disease Consultants, P.c.	6103814082	2

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. Olufemi Adeleye allows following entities to bill medicare on his behalf.

Entity Name	Kidney Disease Consultants, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134260870 PECOS PAC ID: 6103814082 Enrollment ID: O20040501000280

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. Olufemi Adeleye 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
Olufemi Adeleye, MD Po Box 366, Southaven, MS 38671-0005 Ph: (901) 681-9895	Olufemi Adeleye, MD 1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504 Ph: (662) 536-1892

Olufemi Adeleye, MD - Medicare Nephrology in Southaven, MS