Dr Kolawole Isaiah Adediran, MD in Saint Paul, MN

Dr Kolawole Isaiah Adediran, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Saint Paul, Minnesota. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Group Health Plan Inc, Integris Ambulatory Care Corporation and his current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-4786.

Dr Kolawole Isaiah Adediran is licensed to practice in Minnesota (license number 60978) 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 1578981239.

Contact Information

	Dr Kolawole Isaiah Adediran, MD
	640 Jackson St, Saint Paul, MN 55101-2502
	(651) 254-4786
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kolawole Isaiah Adediran
Gender	Male
Speciality	Psychiatry
Experience	14 Years
Location	640 Jackson St, Saint Paul, 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 Kolawole Isaiah Adediran graduated from medical school in 2011

NPI Data:

NPI Number: 1578981239
Provider Enumeration Date: 03/31/2014
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2567760499
Enrollment ID: I20180723000088

Medical Identifiers

Medical identifiers for Dr Kolawole Isaiah Adediran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578981239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	60978 (Minnesota)	Primary
2084P0015X	Psychiatry & Neurology - Psychosomatic Medicine	60978 (Minnesota)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	01097250A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2023008807 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Group Health Plan Inc	1759293954	1487
Integris Ambulatory Care Corporation	2365408465	564

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 Kolawole Isaiah Adediran allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Billings Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376598714 PECOS PAC ID: 6002993516 Enrollment ID: O20221117000558

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 Kolawole Isaiah Adediran 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 Kolawole Isaiah Adediran, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Dr Kolawole Isaiah Adediran, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-4786

Reviews and Comments

Psychiatry & Neurology Doctors in Saint Paul, MN

Dr. Walter Kenneth Rush Iv, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 275 4th St E, Saint Paul, MN 55101 Phone: 651-389-4690 Fax: 651-389-4691
Mark Leon Willenbring, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 745 Victoria St S, Saint Paul, MN 55102 Phone: 202-379-6736
William Spring, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 5th St W Ste 300i, Saint Paul, MN 55102 Phone: 612-888-9639 Fax: 651-318-3945
Dr. Foster Rood Renwick, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4786
Ellen N Garbo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3640 Fax: 651-232-3632
Betty J Ong, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-325-2121 Fax: 651-325-2122
Dr. Frances S Go, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 360 Sherman St, Suite 100, Saint Paul, MN 55102 Phone: 651-241-5959

Dr Kolawole Isaiah Adediran, MD - Medicare Psychiatry in Saint Paul, MN