Mary Oluwatoyin Ebueku-smith, MD in Indianapolis, IN

Mary Oluwatoyin Ebueku-smith, MD is a medicare enrolled "Pediatrics" physician in Indianapolis, Indiana. She went to Drexel University College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 2001 W 86th St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 338-6815.

Mary Oluwatoyin Ebueku-smith is licensed to practice in Indiana (license number 01080536A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639514805.

Contact Information

	Mary Oluwatoyin Ebueku-smith, MD
	2001 W 86th St, Indianapolis, IN 46260-1902
	(317) 338-6815
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Oluwatoyin Ebueku-smith
Gender	Female
Speciality	Hospitalist
Experience	12 Years
Location	2001 W 86th St, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Oluwatoyin Ebueku-smith attended and graduated from Drexel University College Of Medicine in 2013

NPI Data:

NPI Number: 1639514805
Provider Enumeration Date: 05/01/2013
Last Update Date: 11/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8426329897
Enrollment ID: I20221219002373

Medical Identifiers

Medical identifiers for Mary Oluwatoyin Ebueku-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639514805	NPI	-	NPPES
300025385	Medicaid	IN
P02259015	Other	IN	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	121121 (Alaska)	Secondary
207R00000X	Internal Medicine	TL4365 (Wyoming)	Secondary
207R00000X	Internal Medicine	60750536 (Washington)	Secondary
207R00000X	Internal Medicine	121121 (Alaska)	Secondary
207R00000X	Internal Medicine	11591A (Wyoming)	Secondary
207R00000X	Internal Medicine	S4942 (Texas)	Secondary
207R00000X	Internal Medicine	0101281553 (Virginia)	Secondary
208000000X	Pediatrics	11591A (Wyoming)	Secondary
208000000X	Pediatrics	TL4365 (Wyoming)	Secondary
208M00000X	Hospitalist	MD213533 (Oregon)	Secondary
208000000X	Pediatrics	01080536A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Platte County Memorial Hospital	Wheatland, WY	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1338

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. Mary Oluwatoyin Ebueku-smith allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services - Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Providence Health & Services - Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315

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. Mary Oluwatoyin Ebueku-smith 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
Mary Oluwatoyin Ebueku-smith, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: () -	Mary Oluwatoyin Ebueku-smith, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-6815

Reviews and Comments

Pediatrics Doctors in Indianapolis, IN

Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806
Katherine Carlsen Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202 Phone: 317-962-3525
Ivana Radovanovic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5550 S East St Ste C, Indianapolis, IN 46227 Phone: 317-534-4660 Fax: 317-782-4301
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022

Mary Oluwatoyin Ebueku-smith, MD - Medicare Hospitalist in Indianapolis, IN