Dr Jaiyeola Adeleye, MD is a medicare enrolled "Surgery" physician in Clarksdale, Mississippi. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Delta Health System and his current practice location is
785 Ohio Ave Ste 3g, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 624-5026.
Dr Jaiyeola Adeleye is licensed to practice in Mississippi (license number 18718) 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 1649213455.
Physician's Profile
| Full Name | Dr Jaiyeola Adeleye |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 30 Years |
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| Location | 785 Ohio Ave Ste 3g, Clarksdale, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jaiyeola Adeleye graduated from medical school in 1994
NPI Data:
- NPI Number: 1649213455
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890712590
- Enrollment ID: I20051101000925
Medical Identifiers
Medical identifiers for Dr Jaiyeola Adeleye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649213455 | NPI | - | NPPES |
| 00253023 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 18718 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Delta Health System | 5597171645 | 4 |
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 Jaiyeola Adeleye allows following entities to bill medicare on his behalf.
| Entity Name | Delta Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790701134
PECOS PAC ID: 6608775531
Enrollment ID: O20040108000636 |
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| Entity Name | Delta Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609464619
PECOS PAC ID: 5597171645
Enrollment ID: O20210315002779 |
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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 Jaiyeola Adeleye 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 |
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Dr Jaiyeola Adeleye, MD
785 Ohio Ave Ste 3g,
Clarksdale, MS 38614-6215
Ph: (662) 624-5026 | Dr Jaiyeola Adeleye, MD
785 Ohio Ave Ste 3g,
Clarksdale, MS 38614-6215
Ph: (662) 624-5026 |
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