Dr Olugbemiga A Osoba, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Peachtree Corners, Georgia. His current practice location is
4028 Holcomb Bridge Rd Ste 204, Peachtree Corners, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 953-5348.
Dr Olugbemiga A Osoba is licensed to practice in Georgia (license number 59300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578623443.
Physician's Profile
| Full Name | Dr Olugbemiga A Osoba |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 4028 Holcomb Bridge Rd Ste 204, Peachtree Corners, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578623443
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375518087
- Enrollment ID: I20090106000255
Medical Identifiers
Medical identifiers for Dr Olugbemiga A Osoba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578623443 | NPI | - | NPPES |
| OO074832 | Other | | CHAMPUS-CHAMPUS |
| 7509104450 | Other | | BLUE CROSS-BLUE CROSS |
| 974647115F | Medicaid | GA | |
| OO074832 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M9561 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA11605600 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 59300 (Georgia) | 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 Olugbemiga A Osoba allows following entities to bill medicare on his behalf.
| Entity Name | Emory Medical Care Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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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 Olugbemiga A Osoba 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 Olugbemiga A Osoba, MD 4780 Ashford Dunwoody Rd Ste 621a, Atlanta, GA 30338-5564 Ph: (404) 953-5348 | Dr Olugbemiga A Osoba, MD 4028 Holcomb Bridge Rd Ste 204, Peachtree Corners, GA 30092-4600 Ph: (404) 953-5348 |
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