Olatubosun Odusi, MD - Medicare Pediatrics in Woodstock, IL

  1. Home
  2. Pediatrics
  3. IL
  4. Woodstock
Olatubosun Odusi, MD is a medicare enrolled "Pediatrics" physician in Woodstock, Illinois. His current practice location is 3707 Doty Rd Ste H, Woodstock, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 206-2800.

Olatubosun Odusi is licensed to practice in New York (license number 216736) 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 1972598084.

Contact Information

Olatubosun Odusi, MD
3707 Doty Rd Ste H,
Woodstock, IL 60098-7530
(815) 206-2800
(815) 337-5491

Map and Direction




Physician's Profile

Full NameOlatubosun Odusi
GenderMale
SpecialityPediatrics
Location3707 Doty Rd Ste H, Woodstock, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972598084
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850565581
  • Enrollment ID: I20111115000605

Medical Identifiers

Medical identifiers for Olatubosun Odusi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972598084NPI-NPPES
1000006625OtherNYAFFINITY HEALTH
P2164401OtherNYOXFORD HEALTH PLAN
216736OtherNYHIP
2C9466OtherNYHEALTH NET
2031247OtherNYUNITED HEALTH CARE
7440270OtherNYAETNA PPO
2592835OtherNYAETNA USHC PPO
2697890OtherNYGHI
OO6736OtherNYATLANTIS HEALTH PLAN
02112912MedicaidNY
112940201OtherNYHEALTH PLUS
0100713-02OtherNYAMERICHOICE
1R0921OtherNYEMPIRE BCBS
216736-A15OtherNYHEALTH FIRST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 216736 (New York)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. Olatubosun Odusi allows following entities to bill medicare on his behalf.
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameMmc Pediatrics Faculty Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285648154
PECOS PAC ID: 0143406918
Enrollment ID: O20110511000496

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. Olatubosun Odusi 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 AddressPractice Location Address
Olatubosun Odusi, MD
3707 Doty Rd Ste H,
Woodstock, IL 60098-7530

Ph: (815) 206-2800		Olatubosun Odusi, MD
3707 Doty Rd Ste H,
Woodstock, IL 60098-7530

Ph: (815) 206-2800

Reviews and Comments


Pediatrics Doctors in Woodstock, IL

Dr. Terri L Crawley, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Lake Ave, Woodstock, IL 60098
Phone: 815-337-7100    
Dr. Patricia A Nofzinger, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3707 Doty Rd, Suite H, Woodstock, IL 60098
Phone: 815-338-6600    Fax: 815-337-5491
Dr. David Allen Stumpf, MD, PHD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Alpine Ln, Woodstock, IL 60098
Phone: 847-494-7589    Fax: 800-701-9821
Dr. Sarah H Pae, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3707 Doty Rd Ste H, Woodstock, IL 60098
Phone: 847-981-3677    Fax: 847-690-0215
Dr. Laura M Larkner, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3707 Doty Rd Ste H, Woodstock, IL 60098
Phone: 815-338-6600    Fax: 815-337-5491

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.