Olatubosun Odusi, MD in Woodstock, IL

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 Name	Olatubosun Odusi
Gender	Male
Speciality	Pediatrics
Location	3707 Doty Rd Ste H, Woodstock, Illinois
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1972598084	NPI	-	NPPES
1000006625	Other	NY	AFFINITY HEALTH
P2164401	Other	NY	OXFORD HEALTH PLAN
216736	Other	NY	HIP
2C9466	Other	NY	HEALTH NET
2031247	Other	NY	UNITED HEALTH CARE
7440270	Other	NY	AETNA PPO
2592835	Other	NY	AETNA USHC PPO
2697890	Other	NY	GHI
OO6736	Other	NY	ATLANTIS HEALTH PLAN
02112912	Medicaid	NY
112940201	Other	NY	HEALTH PLUS
0100713-02	Other	NY	AMERICHOICE
1R0921	Other	NY	EMPIRE BCBS
216736-A15	Other	NY	HEALTH FIRST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 Name	Maimonides Faculty Practice Plan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597

Entity Name	Mmc Pediatrics Faculty Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Stephanie Alexandria Bui, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 Fax: 815-337-4793
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. Aisha Mirza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100
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

Olatubosun Odusi, MD - Medicare Pediatrics in Woodstock, IL