Olamide Odubogun, MD in Mount Kisco, NY

Olamide Odubogun, MD is a medicare enrolled "Pediatrics" physician in Mount Kisco, New York. His current practice location is 110 S Bedford Rd, Mount Kisco, New York. You can reach out to his office (for appointments etc.) via phone at (914) 241-1050.

Olamide Odubogun is licensed to practice in New York (license number 297359) 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 1174885834.

Contact Information

	Olamide Odubogun, MD
	110 S Bedford Rd, Mount Kisco, NY 10549-3446
	(914) 241-1050
	Not Available

Map and Direction

Physician's Profile

Full Name	Olamide Odubogun
Gender	Male
Speciality	Pediatrics
Location	110 S Bedford Rd, Mount Kisco, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174885834
Provider Enumeration Date: 06/08/2012
Last Update Date: 06/23/2026

Medicare PECOS Information:

PECOS PAC ID: 6709190069
Enrollment ID: I20190626001174

Medical Identifiers

Medical identifiers for Olamide Odubogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174885834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	297359 (New York)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Olamide Odubogun allows following entities to bill medicare on his behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

Entity Name	White Plains Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003355207 PECOS PAC ID: 4688947690 Enrollment ID: O20170913000723

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. Olamide Odubogun 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
Olamide Odubogun, MD Po Box 300, Lebanon, PA 17042-0300 Ph: (717) 270-7780	Olamide Odubogun, MD 110 S Bedford Rd, Mount Kisco, NY 10549-3446 Ph: (914) 241-1050

Reviews and Comments

Pediatrics Doctors in Mount Kisco, NY

Mazen T Khalifeh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549 Phone: 914-666-1862 Fax: 914-666-1444
Dr. Wendy Helaine Marx, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 666 Lexington Ave, Suite 206, Mount Kisco, NY 10549 Phone: 914-666-4742 Fax: 914-666-4850
Dr. Georgina Leylegian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 666 Lexington Ave, Suite 206, Mount Kisco, NY 10549 Phone: 914-666-4742 Fax: 914-666-4850
Elliot B Barsh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1516
Dr. David Crowe, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 666 Lexington Ave Ste 111, Mount Kisco, NY 10549 Phone: 914-960-0756 Fax: 914-864-1443
Amelie Bottex, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 400 E Main St, Mount Kisco, NY 10549 Phone: 914-666-1200

Olamide Odubogun, MD - Medicare Pediatrics in Mount Kisco, NY