Dr Adedute A Gbadehan, MD in Gardena, CA - Medicare Psychiatry & Neurology

Dr Adedute A Gbadehan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gardena, California. His current practice location is 1225 W 190th St Ste 280, Gardena, California. You can reach out to his office (for appointments etc.) via phone at (877) 515-8113.

Dr Adedute A Gbadehan is licensed to practice in Pennsylvania (license number MD444596) 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 1720282429.

Contact Information

	Dr Adedute A Gbadehan, MD
	1225 W 190th St Ste 280, Gardena, CA 90248-4305
	(877) 515-8113
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adedute A Gbadehan
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1225 W 190th St Ste 280, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720282429
Provider Enumeration Date: 06/14/2007
Last Update Date: 08/15/2025

Medicare PECOS Information:

PECOS PAC ID: 9931407616
Enrollment ID: I20160413000853

Medical Identifiers

Medical identifiers for Dr Adedute A Gbadehan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720282429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0101263878 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	270936 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD444596 (Pennsylvania)	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. Dr Adedute A Gbadehan allows following entities to bill medicare on his behalf.

Entity Name	Intercity Psychotherapy Services Lcsw, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437733961 PECOS PAC ID: 7911306923 Enrollment ID: O20210525000622

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. Dr Adedute A Gbadehan 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
Dr Adedute A Gbadehan, MD 5417 Arnolds Ct, Columbia, MD 21045-2495 Ph: (240) 350-3883	Dr Adedute A Gbadehan, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (877) 515-8113

Reviews and Comments

Psychiatry & Neurology Doctors in Gardena, CA

Dr. Manuel Ramon Mota-castillo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102
Mrs. Adeshewa Adekunbi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113
Dr. Alvin Parker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102
Dr. Fabian Onyeka Ogala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102
Alison Mitchell, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113
Dr. Scott Bruce Gladstone, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102

Dr Adedute A Gbadehan, MD - Medicare Psychiatry & Neurology in Gardena, CA