Dr Wuraola Ibiyemi Omotosho, MD is a medicare enrolled "Internal Medicine" physician in Clifton, Illinois. Her current practice location is
102 Commerce Dr, Clifton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 694-2044.
Dr Wuraola Ibiyemi Omotosho is licensed to practice in Illinois (license number 036120926) 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 1427222884.
Physician's Profile
| Full Name | Dr Wuraola Ibiyemi Omotosho |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 102 Commerce Dr, Clifton, Illinois |
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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: 1427222884
- Provider Enumeration Date: 04/16/2008
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173647609
- Enrollment ID: I20100903000740
Medical Identifiers
Medical identifiers for Dr Wuraola Ibiyemi Omotosho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427222884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 036120926 (Illinois) | 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 Wuraola Ibiyemi Omotosho allows following entities to bill medicare on her behalf.
| Entity Name | Presence Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
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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 Wuraola Ibiyemi Omotosho 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 Wuraola Ibiyemi Omotosho, MD 102 Commerce Dr, Clifton, IL 60927-9501 Ph: (815) 694-2044 | Dr Wuraola Ibiyemi Omotosho, MD 102 Commerce Dr, Clifton, IL 60927-9501 Ph: (815) 694-2044 |
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