Dr Oyebola Ellen Oyewole, MD, MS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Oakland, California. Her current practice location is
275 W Macarthur Blvd, Oakland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 752-1000.
Dr Oyebola Ellen Oyewole is licensed to practice in California (license number PTL17265) 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 1730750563.
Physician's Profile
| Full Name | Dr Oyebola Ellen Oyewole |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 275 W Macarthur Blvd, Oakland, California |
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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: 1730750563
- Provider Enumeration Date: 07/02/2021
- Last Update Date: 11/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527577436
- Enrollment ID: I20250603000571
Medical Identifiers
Medical identifiers for Dr Oyebola Ellen Oyewole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730750563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | PTL17265 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | PTL17265 (California) | Primary |
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 Oyebola Ellen Oyewole 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 Oyebola Ellen Oyewole, MD, MS 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 | Dr Oyebola Ellen Oyewole, MD, MS 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 |
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