Bamidele Otemuyiwa, - Medicare Radiology in Eden Prairie, MN

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Bamidele Otemuyiwa, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. His current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Bamidele Otemuyiwa is licensed to practice in Michigan (license number 4301503137) 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 1497250419.

Contact Information

Bamidele Otemuyiwa,
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NameBamidele Otemuyiwa
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497250419
  • Provider Enumeration Date: 03/30/2018
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991054454
  • Enrollment ID: I20230505000860

Medical Identifiers

Medical identifiers for Bamidele Otemuyiwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497250419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301503137 (Michigan)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. Bamidele Otemuyiwa allows following entities to bill medicare on his behalf.
Entity NameVirtual Radiologic Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20071004000582
Entity NameAscension Borgess Lee Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1194771030
PECOS PAC ID: 7719881002
Enrollment ID: O20080304000173
Entity NameCrouse Radiology Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447244587
PECOS PAC ID: 1850387648
Enrollment ID: O20230606001705
Entity NameMemphis Physicians Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134231574
PECOS PAC ID: 9830123736
Enrollment ID: O20240812000399
Entity NameWarren General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811600307
PECOS PAC ID: 4880501402
Enrollment ID: O20250203001966

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. Bamidele Otemuyiwa 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
Bamidele Otemuyiwa,
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (314) 809-7153		Bamidele Otemuyiwa,
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301

Reviews and Comments


Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Jacob Gebrael, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Stephen George Fox, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Dr. Trudy J Moore, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Dr. Priti Bachubhai Ram, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Nathan J Groebner, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274

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.