Dr Ifeoluwa Y Omitowoju, MD is a medicare enrolled "Pediatrics" physician in Halethorpe, Maryland. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1998 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and her current practice location is
1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 737-5000.
Dr Ifeoluwa Y Omitowoju is licensed to practice in Maryland (license number D0059049) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629068903.
Physician's Profile
| Full Name | Dr Ifeoluwa Y Omitowoju |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ifeoluwa Y Omitowoju attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1998
NPI Data:
- NPI Number: 1629068903
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840206942
- Enrollment ID: I20120709000091
Medical Identifiers
Medical identifiers for Dr Ifeoluwa Y Omitowoju such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629068903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | D0059049 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
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 Ifeoluwa Y Omitowoju allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
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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 Ifeoluwa Y Omitowoju 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 Ifeoluwa Y Omitowoju, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Ifeoluwa Y Omitowoju, MD 1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 Ph: (410) 737-5000 |
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