Dr Ajibola Abidemi Babatunde, is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Acworth, Georgia. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Hospitalist Group Llc, Midnight Rose, Llc and his current practice location is
6380 Bells Ferry Rd Ste 107, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 702-4488.
Dr Ajibola Abidemi Babatunde is licensed to practice in Georgia (license number 91068) 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 1629573936.
Physician's Profile
| Full Name | Dr Ajibola Abidemi Babatunde |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 6380 Bells Ferry Rd Ste 107, Acworth, Georgia |
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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. |
Medical Education and Training:
- Dr Ajibola Abidemi Babatunde graduated from medical school in 2018
NPI Data:
- NPI Number: 1629573936
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143570770
- Enrollment ID: I20220711000540
Medical Identifiers
Medical identifiers for Dr Ajibola Abidemi Babatunde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629573936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 14722A (Wyoming) | Secondary |
| 207Q00000X | Family Medicine | 91068 (Georgia) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 25MA11151100 (New Jersey) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 91068 (Georgia) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 91068 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Summit Hospitalist Group Llc | 8527445824 | 27 |
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| Midnight Rose, Llc | 7214352483 | 2 |
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 Ajibola Abidemi Babatunde allows following entities to bill medicare on his behalf.
| Entity Name | Campbell County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
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| Entity Name | Lander Valley Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
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| Entity Name | Riverton Physician Practices, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
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| Entity Name | Summit Hospitalist Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356985600 PECOS PAC ID: 8527445824 Enrollment ID: O20220505002316 |
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| Entity Name | Rural Family Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881261774 PECOS PAC ID: 0042608804 Enrollment ID: O20240320001805 |
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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. Dr Ajibola Abidemi Babatunde 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 Ajibola Abidemi Babatunde, 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102-5435 Ph: (678) 702-4488 | Dr Ajibola Abidemi Babatunde, 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102-5435 Ph: (678) 702-4488 |
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