Abimbola Oduguwa, MD is a medicare enrolled "Pediatrics" physician in Arverne, New York. She went to Ohio State University College Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
6200 Beach Channel Dr, Arverne, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 945-7150.
Abimbola Oduguwa is licensed to practice in New York (license number 294088) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184003121.
Physician's Profile
| Full Name | Abimbola Oduguwa |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 10 Years |
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| Location | 6200 Beach Channel Dr, Arverne, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Abimbola Oduguwa attended and graduated from Ohio State University College Of Medicine in 2015
NPI Data:
- NPI Number: 1184003121
- Provider Enumeration Date: 05/22/2015
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890080600
- Enrollment ID: I20250311002838
Medical Identifiers
Medical identifiers for Abimbola Oduguwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184003121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 294088 (New York) | 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. Abimbola Oduguwa allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Abimbola Oduguwa 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 |
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Abimbola Oduguwa, MD
550 W 54th St Apt 1734,
New York, NY 10019-4722
Ph: () - | Abimbola Oduguwa, MD
6200 Beach Channel Dr,
Arverne, NY 11692-1409
Ph: (718) 945-7150 |
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