Ayodele Adeleke Olusanya, MD - Medicare Internal Medicine in Trenton, TN

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Ayodele Adeleke Olusanya, MD is a medicare enrolled "Internal Medicine" physician in Trenton, Tennessee. He went to Meharry Medical College School Of Medicine and graduated in 2003 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cogent Healthcare Of Tennessee, Pc and his current practice location is 120 Davy Crockett Mall, Trenton, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 855-2803.

Ayodele Adeleke Olusanya is licensed to practice in Tennessee (license number 37856) 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 1932155868.

Contact Information

Ayodele Adeleke Olusanya, MD
120 Davy Crockett Mall,
Trenton, TN 38382-2934
(731) 855-2803
(731) 855-1746

Map and Direction




Physician's Profile

Full NameAyodele Adeleke Olusanya
GenderMale
SpecialityInternal Medicine
Experience23 Years
Location120 Davy Crockett Mall, Trenton, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ayodele Adeleke Olusanya attended and graduated from Meharry Medical College School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1932155868
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 04/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2163336264
  • Enrollment ID: I20031113000449

Medical Identifiers

Medical identifiers for Ayodele Adeleke Olusanya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932155868NPI-NPPES
3895683MedicaidTN
3895684MedicaidTN
4106219OtherTNBCBS
4109887OtherTNBCBS
4139060OtherTNBCBS
3895681MedicaidTN
P00376124OtherTNRR MEDICARE
P00380502OtherTNRAILROAD MEDICARE
3895682MedicaidTN
3895687MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 37856 (Tennessee)Secondary
207R00000XInternal Medicine 37856 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dyersburg Regional Medical CenterDyersburg, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Healthcare Of Tennessee, Pc862822116563

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. Ayodele Adeleke Olusanya allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameCogent Healthcare Of Tennessee, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564

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. Ayodele Adeleke Olusanya 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 AddressPractice Location Address
Ayodele Adeleke Olusanya, MD
42 Willow Green Dr,
Jackson, TN 38305-9756

Ph: () -		Ayodele Adeleke Olusanya, MD
120 Davy Crockett Mall,
Trenton, TN 38382-2934

Ph: (731) 855-2803

Reviews and Comments


Internal Medicine Doctors in Trenton, TN

William C Desouza, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 120 Davy Crockett Mall, Trenton, TN 38382
Phone: 731-855-2803    Fax: 731-855-1746

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.