Dr Okosun Edoro, MD in Camillus, NY - Medicare Internal Medicine

Dr Okosun Edoro, MD is a medicare enrolled "Internal Medicine" physician in Camillus, New York. His current practice location is 5700 W Genesee St Ste 109, Camillus, New York. You can reach out to his office (for appointments etc.) via phone at (315) 487-1573.

Dr Okosun Edoro is licensed to practice in New York (license number 320247-01) 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 1063611481.

Contact Information

	Dr Okosun Edoro, MD
	5700 W Genesee St Ste 109, Camillus, NY 13031-3226
	(315) 487-1573
	(315) 487-2418

Map and Direction

Physician's Profile

Full Name	Dr Okosun Edoro
Gender	Male
Speciality	Internal Medicine
Location	5700 W Genesee St Ste 109, Camillus, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063611481
Provider Enumeration Date: 07/16/2007
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3577538099
Enrollment ID: I20081216000294

Medical Identifiers

Medical identifiers for Dr Okosun Edoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063611481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD11918 (Rhode Island)	Secondary
207R00000X	Internal Medicine	2015-02505 (North Carolina)	Secondary
207R00000X	Internal Medicine	320247-01 (New York)	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 Okosun Edoro allows following entities to bill medicare on his behalf.

Entity Name	North Providence Primary Care Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902886757 PECOS PAC ID: 4880607704 Enrollment ID: O20061116000530

Entity Name	North Providence Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528221470 PECOS PAC ID: 9335209063 Enrollment ID: O20081125000317

Entity Name	Ocean State Primary Care Center Of East Providence Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225543754 PECOS PAC ID: 4082974233 Enrollment ID: O20180207001837

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 Okosun Edoro 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 Okosun Edoro, MD 5700 W Genesee St Ste 109, Camillus, NY 13031-3226 Ph: (315) 487-1573	Dr Okosun Edoro, MD 5700 W Genesee St Ste 109, Camillus, NY 13031-3226 Ph: (315) 487-1573

Reviews and Comments

Internal Medicine Doctors in Camillus, NY

Margaret Spinosa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 260 Township Blvd Ste 20, Camillus, NY 13031 Phone: 315-708-0190 Fax: 315-488-3284
Theodore Koh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194
Scott A Edison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194
Martin T Noonan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2325
Dr. John Sun, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194
Dr. Robert Elmer Westlake Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 W Genesee St, Suite 201n, Camillus, NY 13031 Phone: 315-488-1438 Fax: 315-468-0792

Dr Okosun Edoro, MD - Medicare Internal Medicine in Camillus, NY