Dr Olaoluwa O Bode-omoleye, MD, MPH is a medicare enrolled "Pathology - Anatomic Pathology" physician in Pleasant Prairie, Wisconsin. His current practice location is
7809 100th St, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 345-2358.
Dr Olaoluwa O Bode-omoleye is licensed to practice in Wisconsin (license number 85659-20) 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 1073958906.
Physician's Profile
| Full Name | Dr Olaoluwa O Bode-omoleye |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 7809 100th St, Pleasant Prairie, Wisconsin |
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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 Olaoluwa O Bode-omoleye attended and graduated from in
NPI Data:
- NPI Number: 1073958906
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Olaoluwa O Bode-omoleye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073958906 | NPI | - | NPPES |
| 036.149602 | Other | IL | ILLINOIS STATE DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZD0900X | Pathology - Dermatopathology | 036149602 (Illinois) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 85659-20 (Wisconsin) | Secondary |
| 207ZH0000X | Pathology - Hematology | 036149602 (Illinois) | Secondary |
| 207ZH0000X | Pathology - Hematology | 85659-20 (Wisconsin) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 036149602 (Illinois) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 85659-20 (Wisconsin) | 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 Olaoluwa O Bode-omoleye 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 Olaoluwa O Bode-omoleye, MD, MPH
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Dr Olaoluwa O Bode-omoleye, MD, MPH
7809 100th St,
Pleasant Prairie, WI 53158-2806
Ph: (262) 345-2358 |
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