Ayobola A Oloworaran, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Harlan, Kentucky. His current practice location is
37 Ball Park Rd, Suite 201, Harlan, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 573-4520.
Ayobola A Oloworaran is licensed to practice in Indiana (license number 01073944A) 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 1578879425.
Physician's Profile
| Full Name | Ayobola A Oloworaran |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 37 Ball Park Rd, Harlan, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578879425
- Provider Enumeration Date: 08/28/2010
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254525777
- Enrollment ID: I20101028001249
Medical Identifiers
Medical identifiers for Ayobola A Oloworaran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578879425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 42953 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01073944A (Indiana) | 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. Ayobola A Oloworaran allows following entities to bill medicare on his behalf.
| Entity Name | Kings Daughters Medical Specialties Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710215736
PECOS PAC ID: 6103968029
Enrollment ID: O20100217000538 |
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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. Ayobola A Oloworaran 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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Ayobola A Oloworaran, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Ayobola A Oloworaran, MD
37 Ball Park Rd, Suite 201,
Harlan, KY 40831-1701
Ph: (606) 573-4520 |
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