Dr Oluyemisi Aderonke Olubi, MD, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Corona, California. Her current practice location is
11725 Clematis Dr, Corona, California. You can reach out to her office (for appointments etc.) via phone at
(951) 638-1315.
Dr Oluyemisi Aderonke Olubi is licensed to practice in California (license number C144689) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942496096.
Physician's Profile
| Full Name | Dr Oluyemisi Aderonke Olubi |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 11725 Clematis Dr, Corona, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942496096
- Provider Enumeration Date: 09/22/2007
- Last Update Date: 03/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941348288
- Enrollment ID: I20170116000631
Medical Identifiers
Medical identifiers for Dr Oluyemisi Aderonke Olubi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942496096 | NPI | - | NPPES |
| 9088408 | Other | AZ | AETNA |
| 461441 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 41044 (Arizona) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 19788 (Minnesota) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | C144689 (California) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 41044 (Arizona) | Secondary |
| 208D00000X | General Practice | 41044 (Arizona) | 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 Oluyemisi Aderonke Olubi allows following entities to bill medicare on her behalf.
| Entity Name | Memorialcare Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205167350
PECOS PAC ID: 8729277314
Enrollment ID: O20110113000219 |
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| Entity Name | Orange County Urgent Care #3, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497001200
PECOS PAC ID: 2062667306
Enrollment ID: O20130312000517 |
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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 Oluyemisi Aderonke Olubi 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 Oluyemisi Aderonke Olubi, MD, MPH
11725 Clematis Dr,
Corona, CA 92883-8494
Ph: (612) 306-7858 | Dr Oluyemisi Aderonke Olubi, MD, MPH
11725 Clematis Dr,
Corona, CA 92883-8494
Ph: (951) 638-1315 |
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