Anthony Adebayo Adetomiwa, MD - Medicare Pediatrics in Moultrie, GA

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Anthony Adebayo Adetomiwa, MD is a medicare enrolled "Pediatrics" physician in Moultrie, Georgia. His current practice location is 3131 S Main St, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 891-9131.

Anthony Adebayo Adetomiwa is licensed to practice in Georgia (license number 92799) 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 1902469752.

Contact Information

Anthony Adebayo Adetomiwa, MD
3131 S Main St,
Moultrie, GA 31768-6925
(229) 891-9131
Not Available

Map and Direction




Physician's Profile

Full NameAnthony Adebayo Adetomiwa
GenderMale
SpecialityPediatrics
Location3131 S Main St, Moultrie, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902469752
  • Provider Enumeration Date: 04/17/2019
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173905916
  • Enrollment ID: I20220727000189

Medical Identifiers

Medical identifiers for Anthony Adebayo Adetomiwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902469752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 92799 (Georgia)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. Anthony Adebayo Adetomiwa allows following entities to bill medicare on his behalf.
Entity NameColquitt Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912099094
PECOS PAC ID: 6204821796
Enrollment ID: O20040415000368
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856
Entity NameColquitt Regional Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851840912
PECOS PAC ID: 0749568780
Enrollment ID: O20161026002551

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. Anthony Adebayo Adetomiwa 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
Anthony Adebayo Adetomiwa, MD
Po Box 2876,
Moultrie, GA 31776-2876

Ph: (229) 502-9782		Anthony Adebayo Adetomiwa, MD
3131 S Main St,
Moultrie, GA 31768-6925

Ph: (229) 891-9131

Reviews and Comments


Pediatrics Doctors in Moultrie, GA

Dr. Debra S Selby, MD
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Practice Location: 1 Sweet Bay Ct Ste A, Moultrie, GA 31768
Phone: 229-985-1457    
Dr. Holly M Van De Voort, MD
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Practice Location: 6 Hospital Park, Moultrie, GA 31768
Phone: 229-985-3320    
Dr. Buford Otto Edwards Jr., M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 760 26th Ave Se, Moultrie, GA 31768
Phone: 229-985-1457    Fax: 229-890-9430
Dr. Romana Y Bairan, M.D.
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Medicare: Medicare Enrolled
Practice Location: 760 26th Ave Se, Moultrie, GA 31768
Phone: 229-985-1457    Fax: 229-890-9430
Dr. Daphne Bernadette Mlachila, MD
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Medicare: Medicare Enrolled
Practice Location: 6 Hospital Park, Moultrie, GA 31768
Phone: 229-985-3320    
Dr. Patricia Lee June, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1317 S Main St, Moultrie, GA 31768
Phone: 229-985-7177    Fax: 229-890-5373

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.