Dr Ademola Shofoluwe, MD in Covington, GA - Medicare Orthopaedic Surgery

Dr Ademola Shofoluwe, MD is a medicare enrolled "Orthopaedic Surgery" physician in Covington, Georgia. His current practice location is 3211 Iris Dr, Covington, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 787-4042.

Dr Ademola Shofoluwe is licensed to practice in Georgia (license number 96429) 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 1972039022.

Contact Information

	Dr Ademola Shofoluwe, MD
	3211 Iris Dr, Covington, GA 30016-0907
	(770) 787-4042
	(770) 922-7499

Map and Direction

Physician's Profile

Full Name	Dr Ademola Shofoluwe
Gender	Male
Speciality	Orthopaedic Surgery
Location	3211 Iris Dr, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972039022
Provider Enumeration Date: 05/11/2017
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9537544093
Enrollment ID: I20230914001004

Medical Identifiers

Medical identifiers for Dr Ademola Shofoluwe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972039022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	96429 (Georgia)	Primary
390200000X	Student In An Organized Health Care Education/training Program	T7041 (Texas)	Secondary

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 Ademola Shofoluwe allows following entities to bill medicare on his behalf.

Entity Name	Resurgens, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595

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 Ademola Shofoluwe 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 Ademola Shofoluwe, MD 3211 Iris Dr, Covington, GA 30016-0907 Ph: (770) 787-4042	Dr Ademola Shofoluwe, MD 3211 Iris Dr, Covington, GA 30016-0907 Ph: (770) 787-4042

Reviews and Comments

Orthopaedic Surgery Doctors in Covington, GA

Brett Michael Rosenberg, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5303 Adams St Ne Ste A, Covington, GA 30014 Phone: 706-549-1663 Fax: 706-546-8792
Jimmy A. Spivey, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5303 Adams St Ne, Ste A, Covington, GA 30014 Phone: 706-549-1663 Fax: 706-546-8792
Dr. Clifton Gregrory Meals, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne Ste 204, Covington, GA 30014 Phone: 678-766-8999 Fax: 678-625-2168
Tarek A Nessouli, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3211 Iris Drive, Covington, GA 30016 Phone: 770-787-4042 Fax: 770-787-4001
Dr. Matt Mathew, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4181 Hospital Dr Ne Ste 204, Covington, GA 30014 Phone: 678-766-8999
Dr. Jane Soon-yuen Tan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3211 Iris Dr, Covington, GA 30016 Phone: 770-787-4042 Fax: 770-922-7499
Dr. Robert T. Greenfield, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3211 Iris Dr, Covington, GA 30016 Phone: 770-787-4042 Fax: 770-787-4001

Dr Ademola Shofoluwe, MD - Medicare Orthopaedic Surgery in Covington, GA