Dr Ewalola Ayo Ijaduola, MD in Lawrenceville, GA

Dr Ewalola Ayo Ijaduola, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lawrenceville, Georgia. Her current practice location is 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 645-7150.

Dr Ewalola Ayo Ijaduola is licensed to practice in Missouri (license number 2016042861) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306193016.

Contact Information

	Dr Ewalola Ayo Ijaduola, MD
	595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762
	(404) 645-7150
	(678) 433-9152

Map and Direction

Physician's Profile

Full Name	Dr Ewalola Ayo Ijaduola
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306193016
Provider Enumeration Date: 08/13/2012
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4789995929
Enrollment ID: I20190606000972

Medical Identifiers

Medical identifiers for Dr Ewalola Ayo Ijaduola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306193016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	81738 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RN0300X	Internal Medicine - Nephrology	2016042861 (Missouri)	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 Ewalola Ayo Ijaduola allows following entities to bill medicare on her behalf.

Entity Name	Morehouse Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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 Ewalola Ayo Ijaduola 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 Ewalola Ayo Ijaduola, MD 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 Ph: (404) 645-7150	Dr Ewalola Ayo Ijaduola, MD 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 Ph: (404) 645-7150

Reviews and Comments

Internal Medicine Doctors in Lawrenceville, GA

Dr. Angus C Howard Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150
Gary Mcmorris, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723
Niraj Sharma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001
Dr. Karuna Kusan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472
Mr. Spencer I Rozin, MD FACP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444
Praveen Sivakumaran, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577
Dr. Yan Lin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294

Dr Ewalola Ayo Ijaduola, MD - Medicare Internal Medicine in Lawrenceville, GA