Dr Olusegun Adesanya Odukoya, MD - Medicare Family Medicine in Willowick, OH

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Dr Olusegun Adesanya Odukoya, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Willowick, Ohio. His current practice location is 33693 Vine St, Willowick, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 768-2794.

Dr Olusegun Adesanya Odukoya is licensed to practice in Ohio (license number 35.120134) 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 1235387416.

Contact Information

Dr Olusegun Adesanya Odukoya, MD
33693 Vine St,
Willowick, OH 44095-3455
(440) 768-2794
(888) 355-7033

Map and Direction




Physician's Profile

Full NameDr Olusegun Adesanya Odukoya
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location33693 Vine St, Willowick, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235387416
  • Provider Enumeration Date: 08/30/2008
  • Last Update Date: 02/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183763865
  • Enrollment ID: I20121117000114

Medical Identifiers

Medical identifiers for Dr Olusegun Adesanya Odukoya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235387416NPI-NPPES
000000637130OtherKYANTHEM BCBS
7100104620MedicaidKY
P00773148OtherKYRR MEDICARE
000000637135OtherKYANTHEM BCBS
3009952MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 4301093350 (Michigan)Secondary
207QA0505XFamily Medicine - Adult Medicine TP891 (Kentucky)Secondary
207QA0505XFamily Medicine - Adult Medicine 35.120134 (Ohio)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 Olusegun Adesanya Odukoya allows following entities to bill medicare on his behalf.
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameOsh-oh Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346747946
PECOS PAC ID: 1759639693
Enrollment ID: O20180808003187

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 Olusegun Adesanya Odukoya 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 Olusegun Adesanya Odukoya, MD
102 Woodmont Blvd Ste 600,
Nashville, TN 37205-5250

Ph: (888) 987-1151		Dr Olusegun Adesanya Odukoya, MD
33693 Vine St,
Willowick, OH 44095-3455

Ph: (440) 768-2794

Reviews and Comments


Family Medicine Doctors in Willowick, OH

Dr. Brian Joseph Juriga, DO
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Kelly M. Mcphillips, M.D.
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Dr. Gwen H Haas, MD
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Angela Brinkman, DO
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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.