Dr Olufunmilola Modupe Ogbonlowo, MD is a medicare enrolled "Family Medicine" physician in Lansdowne, Virginia. Her current practice location is
19465 Deerfield Ave Ste 309, Lansdowne, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 293-2424.
Dr Olufunmilola Modupe Ogbonlowo is licensed to practice in Virginia (license number 0101263837) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1174926679.
Physician's Profile
| Full Name | Dr Olufunmilola Modupe Ogbonlowo |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 19465 Deerfield Ave Ste 309, Lansdowne, Virginia |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Olufunmilola Modupe Ogbonlowo attended and graduated from in
NPI Data:
- NPI Number: 1174926679
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Olufunmilola Modupe Ogbonlowo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174926679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101263837 (Virginia) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | 10421511 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 4301107153 (Michigan) | Secondary |
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 Olufunmilola Modupe Ogbonlowo 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 Olufunmilola Modupe Ogbonlowo, MD
19465 Deerfield Ave Ste 309,
Lansdowne, VA 20176-1705
Ph: (571) 293-2424 | Dr Olufunmilola Modupe Ogbonlowo, MD
19465 Deerfield Ave Ste 309,
Lansdowne, VA 20176-1705
Ph: (571) 293-2424 |
Reviews and Comments