Dr Simon Olalekan Okewole, DO - Medicare Internal Medicine in Jackson, TN

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Dr Simon Olalekan Okewole, DO is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Jackson, Tennessee. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Delta Clinics Plc and his current practice location is 17 Centre Plaza Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 512-0104.

Dr Simon Olalekan Okewole is licensed to practice in Tennessee (license number 2572) 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 1205000296.

Contact Information

Dr Simon Olalekan Okewole, DO
17 Centre Plaza Dr,
Jackson, TN 38305-2862
(731) 512-0104
(731) 668-7388

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Physician's Profile

Full NameDr Simon Olalekan Okewole
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location17 Centre Plaza Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Simon Olalekan Okewole attended and graduated from Philadelphia College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1205000296
  • Provider Enumeration Date: 04/22/2008
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294898557
  • Enrollment ID: I20130924000431

Medical Identifiers

Medical identifiers for Dr Simon Olalekan Okewole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205000296NPI-NPPES
2572OtherTNSTATE LICENSE
1396033379OtherTNNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 2572 (Tennessee)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 2572 (Tennessee)Primary
207R00000XInternal Medicine 25MB08388000 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center Home HealthJackson, TNHome health agency
Extendicare Home Health Of West TnJackson, TNHome health agency
Jackson-madison County General HospitalJackson, TNHospital
Dyersburg Regional Medical CenterDyersburg, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delta Clinics Plc519302299413

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 Simon Olalekan Okewole allows following entities to bill medicare on his behalf.
Entity NameWest Tennessee Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053615955
PECOS PAC ID: 3971781006
Enrollment ID: O20110621000009
Entity NameDelta Clinics Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396033379
PECOS PAC ID: 5193022994
Enrollment ID: O20160322001542
Entity NameLauderdale Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962034272
PECOS PAC ID: 9830505023
Enrollment ID: O20210422000338

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 Simon Olalekan Okewole 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 Simon Olalekan Okewole, DO
17 Centre Plaza Dr,
Jackson, TN 38305-2862

Ph: (731) 512-0104		Dr Simon Olalekan Okewole, DO
17 Centre Plaza Dr,
Jackson, TN 38305-2862

Ph: (731) 512-0104

Reviews and Comments


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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.