Dr Oluseyi Fadegbola Ogundimu, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Sullivan, Missouri. His current practice location is
661 Fisher Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 860-3000.
Dr Oluseyi Fadegbola Ogundimu is licensed to practice in Missouri (license number 2014010100) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700016250.
Physician's Profile
| Full Name | Dr Oluseyi Fadegbola Ogundimu |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 661 Fisher Dr, Sullivan, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Oluseyi Fadegbola Ogundimu attended and graduated from in
NPI Data:
- NPI Number: 1700016250
- Provider Enumeration Date: 07/17/2009
- Last Update Date: 07/07/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Oluseyi Fadegbola Ogundimu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700016250 | NPI | - | NPPES |
| 1700016250 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 2014010100 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301103019 (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 Oluseyi Fadegbola Ogundimu 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 Oluseyi Fadegbola Ogundimu, MD
190 Industrial Dr,
Festus, MO 63028-4133
Ph: (636) 777-2245 | Dr Oluseyi Fadegbola Ogundimu, MD
661 Fisher Dr,
Sullivan, MO 63080-1533
Ph: (573) 860-3000 |
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