Olatubosun Olasupo Oguntoye, MD in Kokomo, IN

Olatubosun Olasupo Oguntoye, MD is a medicare enrolled "Pediatrics" physician in Kokomo, Indiana. His current practice location is 1907 W Sycamore St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 236-8363.

Olatubosun Olasupo Oguntoye is licensed to practice in Indiana (license number 01062399A) 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 1891983243.

Contact Information

	Olatubosun Olasupo Oguntoye, MD
	1907 W Sycamore St, Kokomo, IN 46901-5148
	(765) 236-8363
	Not Available

Map and Direction

Physician's Profile

Full Name	Olatubosun Olasupo Oguntoye
Gender	Male
Speciality	Pediatrics
Location	1907 W Sycamore St, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891983243
Provider Enumeration Date: 10/11/2007
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3779636253
Enrollment ID: I20090730000555

Medical Identifiers

Medical identifiers for Olatubosun Olasupo Oguntoye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891983243	NPI	-	NPPES
20091550	Medicaid	IN
01062399A	Other	IN	INDIANA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	19931 (Mississippi)	Secondary
208000000X	Pediatrics	01062399A (Indiana)	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 Olasupo Oguntoye allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045

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 Olasupo Oguntoye 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 Olasupo Oguntoye, MD 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: () -	Olatubosun Olasupo Oguntoye, MD 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 236-8363

Reviews and Comments

Pediatrics Doctors in Kokomo, IN

Jeniffer Forson, Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700
Dr. Samatha Madhavarapu, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160
Jared A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282
Dana Y Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-583-3332 Fax: 317-583-2805
Dr. Benjamin F Weston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2130 W Sycamore St Ste 260, Kokomo, IN 46901 Phone: 765-236-8457
Mohanjit Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3506 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-6700 Fax: 765-864-6703
Donita Roettcher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700

Olatubosun Olasupo Oguntoye, MD - Medicare Pediatrics in Kokomo, IN