Charles O Jaiyeoba, MD in Keller, TX - Medicare Gastroenterology

Charles O Jaiyeoba, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Keller, Texas. He went to Morehouse School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice North Texas Surgical Specialists Pllc and his current practice location is 1866 Keller Pkwy, Keller, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 224-3748.

Charles O Jaiyeoba is licensed to practice in Texas (license number T9412) 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 1942439336.

Contact Information

	Charles O Jaiyeoba, MD
	1866 Keller Pkwy, Keller, TX 76248-3764
	(682) 224-3748
	(682) 841-0039

Map and Direction

Physician's Profile

Full Name	Charles O Jaiyeoba
Gender	Male
Speciality	Gastroenterology
Experience	16 Years
Location	1866 Keller Pkwy, Keller, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles O Jaiyeoba attended and graduated from Morehouse School Of Medicine in 2009

NPI Data:

NPI Number: 1942439336
Provider Enumeration Date: 07/07/2009
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1052615242
Enrollment ID: I20240105001746

Medical Identifiers

Medical identifiers for Charles O Jaiyeoba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942439336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	4301094929 (Michigan)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	036174125 (Illinois)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	T9412 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hospital Alliance	Fort worth, TX	Hospital
Medical City Alliance	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Texas Surgical Specialists Pllc	8921364100	29

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. Charles O Jaiyeoba allows following entities to bill medicare on his behalf.

Entity Name	North Texas Surgical Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831625292 PECOS PAC ID: 8921364100 Enrollment ID: O20171103000133

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. Charles O Jaiyeoba 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
Charles O Jaiyeoba, MD 800 8th Ave Ste 306, Fort Worth, TX 76104-2602 Ph: (682) 224-3748	Charles O Jaiyeoba, MD 1866 Keller Pkwy, Keller, TX 76248-3764 Ph: (682) 224-3748

Reviews and Comments

Internal Medicine Doctors in Keller, TX

Edwin O Del Rosario, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8861 Davis Blvd, Suite 100, Keller, TX 76248 Phone: 817-431-5073
Nadia Alawi-kakomanolis, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 720 S Main St, Keller, TX 76248 Phone: 817-431-2800 Fax: 817-431-0371
Mary Katherine Watters, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 130, Keller, TX 76248 Phone: 817-359-9000 Fax: 817-284-8943
Dr. Niraj Mahendra Mehta, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8845 Davis Blvd Ste 100, Keller, TX 76248 Phone: 817-900-9525 Fax: 817-900-9545
Scott Brandon Mccord, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 130, Keller, TX 76248 Phone: 817-284-4994 Fax: 817-284-8943
Mary P Van Hal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 150, Keller, TX 76248 Phone: 817-753-6250 Fax: 817-431-1441

Charles O Jaiyeoba, MD - Medicare Gastroenterology in Keller, TX