Dr Ebenezer Kolade, MD - Medicare Internal Medicine in Bridgeport, CT

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Dr Ebenezer Kolade, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Bridgeport, Connecticut. His current practice location is 3851 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 372-3333.

Dr Ebenezer Kolade is licensed to practice in Connecticut (license number 040029) 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 1376618611.

Contact Information

Dr Ebenezer Kolade, MD
3851 Main St,
Bridgeport, CT 06606-2864
(203) 372-3333
(203) 374-7515

Map and Direction




Physician's Profile

Full NameDr Ebenezer Kolade
GenderMale
SpecialityInternal Medicine - Addiction Medicine
Location3851 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376618611
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0143245332
  • Enrollment ID: I20051011000018

Medical Identifiers

Medical identifiers for Dr Ebenezer Kolade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376618611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0401XInternal Medicine - Addiction Medicine 040029 (Connecticut)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 Ebenezer Kolade allows following entities to bill medicare on his behalf.
Entity NameNew Era Rehabilitation Center,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255372108
PECOS PAC ID: 3072538263
Enrollment ID: O20051006000655

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 Ebenezer Kolade 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
Dr Ebenezer Kolade, MD
3851 Main St,
Bridgeport, CT 06606-2864

Ph: (203) 372-3333		Dr Ebenezer Kolade, MD
3851 Main St,
Bridgeport, CT 06606-2864

Ph: (203) 372-3333

Reviews and Comments


Internal Medicine Doctors in Bridgeport, CT

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Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    Fax: 203-384-3829

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.

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