Adewale Olailan Lawal, DMD in Chicago, IL - Medicare Dentist Provider

Adewale Olailan Lawal, DMD is a medicare enrolled "Dentist - General Practice" provider in Chicago, Illinois. His current practice location is 4259 S Berkeley Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 646-6620.

Adewale Olailan Lawal is licensed to practice in Illinois (license number 019029027) 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 1124373899.

Contact Information

	Adewale Olailan Lawal, DMD
	4259 S Berkeley Ave, Chicago, IL 60653-3030
	(312) 646-6620
	(773) 624-5642

Map and Direction

Healthcare Provider's Profile

Full Name	Adewale Olailan Lawal
Gender	Male
Speciality	Dentist - General Practice
Location	4259 S Berkeley Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124373899
Provider Enumeration Date: 07/19/2012
Last Update Date: 10/23/2016

Medicare PECOS Information:

PECOS PAC ID: 7315317104
Enrollment ID: I20230112002328

Medical Identifiers

Medical identifiers for Adewale Olailan Lawal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124373899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019029027 (Illinois)	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. Adewale Olailan Lawal allows following entities to bill medicare on his behalf.

Entity Name	Quentin N Burdick Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052

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. Adewale Olailan Lawal 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
Adewale Olailan Lawal, DMD 7250 S Dorchester Ave, Chicago, IL 60619-1543 Ph: (312) 550-1886	Adewale Olailan Lawal, DMD 4259 S Berkeley Ave, Chicago, IL 60653-3030 Ph: (312) 646-6620

Reviews and Comments

Dentist in Chicago, IL

Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994
Bilus D Poles, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1945 W Wilson Ave, Chicago, IL 60640 Phone: 773-275-8855
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526

Adewale Olailan Lawal, DMD - Medicare Dentist in Chicago, IL