Kolawole Ademuyiwa Odulaja, MD in San Antonio, TX

Kolawole Ademuyiwa Odulaja, MD is a medicare enrolled "Internal Medicine" physician in San Antonio, Texas. His current practice location is 510 Med Ct, Suite 107, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 455-0074.

Kolawole Ademuyiwa Odulaja is licensed to practice in Texas (license number N2694) 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 1043384654.

Contact Information

	Kolawole Ademuyiwa Odulaja, MD
	510 Med Ct, Suite 107, San Antonio, TX 78258-3482
	(210) 455-0074
	(210) 455-0124

Map and Direction

Physician's Profile

Full Name	Kolawole Ademuyiwa Odulaja
Gender	Male
Speciality	Internal Medicine
Location	510 Med Ct, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043384654
Provider Enumeration Date: 11/17/2006
Last Update Date: 07/20/2016

Medicare PECOS Information:

PECOS PAC ID: 7416935309
Enrollment ID: I20040708000430

Medical Identifiers

Medical identifiers for Kolawole Ademuyiwa Odulaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043384654	NPI	-	NPPES
201404510	Medicaid	TX
8CJ963	Other		BLUE CROSS BLUE SHIELD OF TEXAS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	N2694 (Texas)	Primary
207P00000X	Emergency Medicine	N2694 (Texas)	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. Kolawole Ademuyiwa Odulaja allows following entities to bill medicare on his behalf.

Entity Name	Multiviz Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720373293 PECOS PAC ID: 1557274735 Enrollment ID: O20031112000674

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. Kolawole Ademuyiwa Odulaja 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
Kolawole Ademuyiwa Odulaja, MD 510 Med Ct, Suite 107, San Antonio, TX 78258-3482 Ph: (210) 455-0074	Kolawole Ademuyiwa Odulaja, MD 510 Med Ct, Suite 107, San Antonio, TX 78258-3482 Ph: (210) 455-0074

Reviews and Comments

Internal Medicine Doctors in San Antonio, TX

Dr. Dennis Anthony Ruff, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112
Eduardo N. Pollono, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960
Zarema J Singson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952
Sapna Raghunathan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065
Dr. Jonathan Edward Slovik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647
Mr. Paul Joseph Fanucchi, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005
Socrates B Aramburu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761

Kolawole Ademuyiwa Odulaja, MD - Medicare Internal Medicine in San Antonio, TX