Dr Olufisayo Tayo Otusanya, MBCHB - Medicare Pulmonary Disease in Stockbridge, GA

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Dr Olufisayo Tayo Otusanya, MBCHB is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Stockbridge, Georgia. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Northside Primary Care Professional Services,llc, Piedmont Providers Llc, Piedmont Specialty Hospital Billing Llc and his current practice location is 135 N Park Pl Ste 200, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 289-7960.

Dr Olufisayo Tayo Otusanya is licensed to practice in Georgia (license number 84957) 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 1336552785.

Contact Information

Dr Olufisayo Tayo Otusanya, MBCHB
135 N Park Pl Ste 200,
Stockbridge, GA 30281-7209
(678) 289-7960
Not Available

Map and Direction




Physician's Profile

Full NameDr Olufisayo Tayo Otusanya
GenderMale
SpecialityPulmonary Disease
Experience15 Years
Location135 N Park Pl Ste 200, Stockbridge, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Olufisayo Tayo Otusanya graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1336552785
  • Provider Enumeration Date: 06/03/2014
  • Last Update Date: 07/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517212103
  • Enrollment ID: I20200723001116

Medical Identifiers

Medical identifiers for Dr Olufisayo Tayo Otusanya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336552785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 305582 (Louisiana)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 84957 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Henry HospitalStockbridge, GAHospital
Piedmont HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Primary Care Professional Services,llc9638343924282
Piedmont Providers Llc9830082825425
Piedmont Specialty Hospital Billing Llc4183986490202

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 Olufisayo Tayo Otusanya allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NamePiedmont Specialty Hospital Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180
Entity NameSound Physicians Intensivists Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159590
PECOS PAC ID: 5193138634
Enrollment ID: O20201230001915

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 Olufisayo Tayo Otusanya 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 AddressPractice Location Address
Dr Olufisayo Tayo Otusanya, MBCHB
135 N Park Pl Ste 200,
Stockbridge, GA 30281-7209

Ph: () -		Dr Olufisayo Tayo Otusanya, MBCHB
135 N Park Pl Ste 200,
Stockbridge, GA 30281-7209

Ph: (678) 289-7960

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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