Dr Olubisi Adebayo, is a medicare enrolled "Physical Therapist" physician in Bronx, New York. Her current practice location is
369 E 149th St, Suite 4a, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 444-6884.
Dr Olubisi Adebayo is licensed to practice in New York (license number 027958) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336501626.
Physician's Profile
| Full Name | Dr Olubisi Adebayo |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 369 E 149th St, Bronx, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336501626
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 07/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 4880972744
- Enrollment ID: I20161027000337
Medical Identifiers
Medical identifiers for Dr Olubisi Adebayo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336501626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 027958-1 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 40QA01347000 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 027958 (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 Olubisi Adebayo allows following entities to bill medicare on her behalf.
| Entity Name | Amth Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003274937
PECOS PAC ID: 8426345711
Enrollment ID: O20160930000439 |
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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 Olubisi Adebayo 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 Olubisi Adebayo,
29 Appledale Ln,
Chestnut Ridge, NY 10977-7226
Ph: (845) 548-6755 | Dr Olubisi Adebayo,
369 E 149th St, Suite 4a,
Bronx, NY 10455-3906
Ph: (585) 444-6884 |
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