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.
Physician's Profile
| Full Name | Ayodele Adeleke Olusanya |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 120 Davy Crockett Mall, Trenton, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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.
| Identifier | Type | State | Issuer |
|---|
| 1932155868 | NPI | - | NPPES |
| 3895683 | Medicaid | TN | |
| 3895684 | Medicaid | TN | |
| 4106219 | Other | TN | BCBS |
| 4109887 | Other | TN | BCBS |
| 4139060 | Other | TN | BCBS |
| 3895681 | Medicaid | TN | |
| P00376124 | Other | TN | RR MEDICARE |
| P00380502 | Other | TN | RAILROAD MEDICARE |
| 3895682 | Medicaid | TN | |
| 3895687 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 37856 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 37856 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cogent Healthcare Of Tennessee, Pc | 8628221165 | 36 |
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 Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571 |
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| Entity Name | Cogent Healthcare Of Tennessee, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564 |
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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. 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 Address | Practice Location Address |
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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 |
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