Dr Olugbenga Adedipe, MD in Fort Drum, NY

Dr Olugbenga Adedipe, MD is a medicare enrolled "Pediatrics" physician in Fort Drum, New York. His current practice location is 11050 Mt Belvedere Blvd, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at (315) 772-2778.

Dr Olugbenga Adedipe is licensed to practice in Georgia (license number 49996) 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 1720088016.

Contact Information

	Dr Olugbenga Adedipe, MD
	11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603
	(315) 772-2778
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Olugbenga Adedipe
Gender	Male
Speciality	Pediatrics
Location	11050 Mt Belvedere Blvd, Fort Drum, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720088016
Provider Enumeration Date: 07/28/2005
Last Update Date: 05/28/2026

Medicare PECOS Information:

PECOS PAC ID: 5890846125
Enrollment ID: I20090929000683

Medical Identifiers

Medical identifiers for Dr Olugbenga Adedipe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720088016	NPI	-	NPPES
02635095	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	49996 (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 Olugbenga Adedipe allows following entities to bill medicare on his behalf.

Entity Name	Progressive Medical Management Of Batesville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265

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 Olugbenga Adedipe 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 Olugbenga Adedipe, MD 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: () -	Dr Olugbenga Adedipe, MD 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: (315) 772-2778

Reviews and Comments

Pediatrics Doctors in Fort Drum, NY

Dr. Michael Harris Carpenter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-7730
Savitri Motaparthi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac /credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
Dr. Aziza C Alam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-4024
Dr. Mehmet Fatih Ramazanoglu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778
Dr. Lara Kristina Primak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt. Belvedere Blvd., Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
William Edwards, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778
Dr. Arthur Denning Duff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025

Dr Olugbenga Adedipe, MD - Medicare Pediatrics in Fort Drum, NY