Dr Olufunmilola Modupe Ogbonlowo, MD is a medicare enrolled "Family Medicine" physician in Lansdowne, Virginia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Patient First Richmond Medical Group Pllc, Patient First Richmond Medical Group Pllc and 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 |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 19465 Deerfield Ave Ste 309, Lansdowne, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Olufunmilola Modupe Ogbonlowo graduated from medical school in 2014
NPI Data:
- NPI Number: 1174926679
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385993138
- Enrollment ID: I20180828000936
Medical Identifiers
Medical identifiers for Dr Olufunmilola Modupe Ogbonlowo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174926679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101263837 (Virginia) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | 10421511 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 4301107153 (Michigan) | Secondary |
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 Olufunmilola Modupe Ogbonlowo allows following entities to bill medicare on her behalf.
| Entity Name | Patient First Richmond Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689603748
PECOS PAC ID: 9931011434
Enrollment ID: O20031103000500 |
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| Entity Name | Valley Physician Enterprise Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278 |
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| Entity Name | Lighthouse Family Medicine And Wellness Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164003752
PECOS PAC ID: 3072922574
Enrollment ID: O20210513002260 |
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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 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 |
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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 |
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