Gabriel Boladele Rosanwo, MD in South Bend, IN - Medicare Obstetrics & Gynecology

Gabriel Boladele Rosanwo, MD is a medicare enrolled "Obstetrics & Gynecology" physician in South Bend, Indiana. His current practice location is 100 Navarre Pl Ste 4470, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1405.

Gabriel Boladele Rosanwo is licensed to practice in Indiana (license number 01080180A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598740466.

Contact Information

	Gabriel Boladele Rosanwo, MD
	100 Navarre Pl Ste 4470, South Bend, IN 46601-1168
	(574) 647-1405
	(574) 647-3970

Map and Direction

Physician's Profile

Full Name	Gabriel Boladele Rosanwo
Gender	Male
Speciality	Obstetrics & Gynecology
Location	100 Navarre Pl Ste 4470, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598740466
Provider Enumeration Date: 12/13/2005
Last Update Date: 07/08/2026

Medicare PECOS Information:

PECOS PAC ID: 5496774804
Enrollment ID: I20051115000723

Medical Identifiers

Medical identifiers for Gabriel Boladele Rosanwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598740466	NPI	-	NPPES
300012787	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01080180A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	01080180A (Indiana)	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. Gabriel Boladele Rosanwo allows following entities to bill medicare on his behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

Entity Name	Obhg Illinois Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065

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. Gabriel Boladele Rosanwo 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
Gabriel Boladele Rosanwo, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () -	Gabriel Boladele Rosanwo, MD 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 Ph: (574) 647-1405

Reviews and Comments

Obstetrics & Gynecology Doctors in South Bend, IN

Dr. Rajendra Vito Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420
Kelly Wayne Mcguire, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6301 University Commons, Suite 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Sara A Baumgartner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons Ste 310, South Bend, IN 46635 Phone: 574-232-1471 Fax: 574-239-8511
Dr. Theresa Marie Bartos Holladay, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 W Western Ave Ste B, South Bend, IN 46619 Phone: 574-234-9033 Fax: 574-847-7200
Robert J Austin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1650 Fax: 574-647-1655
Dr. Thomas R Gruszynski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, Suite 616, South Bend, IN 46601 Phone: 574-234-2128 Fax: 574-234-4775
Daniel Francis Czarnecki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 515 N Lafayette Blvd, South Bend, IN 46601 Phone: 574-232-2037 Fax: 574-232-1420

Gabriel Boladele Rosanwo, MD - Medicare Obstetrics & Gynecology in South Bend, IN