Dr Odolphe Augustin, DO, MPH in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Dr Odolphe Augustin, DO, MPH - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD

Dr Odolphe Augustin, DO, MPH is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is 4940 Eastern Avenue, Internal Medicine Clinic, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-3350.

Dr Odolphe Augustin is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033808704.

Contact Information

	Dr Odolphe Augustin, DO, MPH
	4940 Eastern Avenue, Internal Medicine Clinic, Baltimore, MD 21224
	(410) 550-3350
	(410) 550-0491

Map and Direction

Physician's Profile

Full Name	Dr Odolphe Augustin
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	4940 Eastern Avenue, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033808704
Provider Enumeration Date: 05/08/2023
Last Update Date: 06/02/2026

Medicare PECOS Information:

PECOS PAC ID: 8022475912
Enrollment ID: I20230608000893

Medical Identifiers

Medical identifiers for Dr Odolphe Augustin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033808704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	H0107107 (Maryland)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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 Odolphe Augustin 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 Odolphe Augustin, DO, MPH 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423	Dr Odolphe Augustin, DO, MPH 4940 Eastern Avenue, Internal Medicine Clinic, Baltimore, MD 21224 Ph: (410) 550-3350