Dr Eniola O Fagbongbe, MD, MBA in Rochester, MN - Medicare Obstetrics/gynecology

Dr Eniola O Fagbongbe, MD, MBA is a medicare enrolled "Obstetrics & Gynecology" physician in Rochester, Minnesota. He graduated from medical school in 1984 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Obhg Mississippi Pc and his current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Dr Eniola O Fagbongbe is licensed to practice in Alabama (license number 00023921) 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 1790737807.

Contact Information

	Dr Eniola O Fagbongbe, MD, MBA
	200 1st St Sw, Rochester, MN 55905-0001
	(507) 284-2511
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Eniola O Fagbongbe
Gender	Male
Speciality	Obstetrics/gynecology
Experience	41 Years
Location	200 1st St Sw, Rochester, Minnesota
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 Eniola O Fagbongbe graduated from medical school in 1984

NPI Data:

NPI Number: 1790737807
Provider Enumeration Date: 05/17/2006
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9739130972
Enrollment ID: I20221121000114

Medical Identifiers

Medical identifiers for Dr Eniola O Fagbongbe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790737807	NPI	-	NPPES
540091003	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	29142 (Mississippi)	Secondary
207V00000X	Obstetrics & Gynecology	00023921 (Alabama)	Primary
207V00000X	Obstetrics & Gynecology	66741 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Choctaw General Hospital	Butler, AL	Hospital
Atmore Community Hospital	Atmore, AL	Hospital
D W Mcmillan Memorial Hospital	Brewton, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Obhg Mississippi Pc	7416120407	16

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 Eniola O Fagbongbe allows following entities to bill medicare on his behalf.

Entity Name	Obhg Mississippi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567

Entity Name	Anderson Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043764699 PECOS PAC ID: 4284548025 Enrollment ID: O20170405001138

Entity Name	Gulfport Obgyn Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902635071 PECOS PAC ID: 4587103221 Enrollment ID: O20240827000820

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 Eniola O Fagbongbe 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 Eniola O Fagbongbe, MD, MBA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Dr Eniola O Fagbongbe, MD, MBA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511

Reviews and Comments

Obstetrics & Gynecology Doctors in Rochester, MN

Brandon Paul Maddy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Janelle Santos, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Priyal Praful Fadadu, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Dr. Jack F Perrone, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1650 4th St Se, Rochester, MN 55904 Phone: 507-288-3443
Vanessa E Torbenson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Anusha Adkoli, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Luis F Suarez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Dr Eniola O Fagbongbe, MD, MBA - Medicare Obstetrics/gynecology in Rochester, MN