Dr Olaoluwa O Bode-omoleye, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Pleasant Prairie, Wisconsin. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Pathology. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and 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 | Pathology |
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| Experience | 21 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 graduated from medical school in 2005
NPI Data:
- NPI Number: 1073958906
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 09/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022439983
- Enrollment ID: I20230808003700
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 |
|---|
| 207ZH0000X | Pathology - Hematology | 036149602 (Illinois) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 036149602 (Illinois) | Secondary |
| 207ZH0000X | Pathology - Hematology | 85659-20 (Wisconsin) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 036149602 (Illinois) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 85659-20 (Wisconsin) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 85659-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
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 Olaoluwa O Bode-omoleye allows following entities to bill medicare on his behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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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 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 |
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Dr Olaoluwa O Bode-omoleye, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Dr Olaoluwa O Bode-omoleye, MD
7809 100th St,
Pleasant Prairie, WI 53158-2806
Ph: (262) 345-2358 |
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