Olugbeminiyi I Olubanjo, MD - Medicare Family Medicine in Mansfield, TX

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Olugbeminiyi I Olubanjo, MD is a medicare enrolled "Family Medicine" physician in Mansfield, Texas. Her current practice location is 4615 Valleyview Dr, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 800-9446.

Olugbeminiyi I Olubanjo is licensed to practice in Texas (license number N1033) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427274042.

Contact Information

Olugbeminiyi I Olubanjo, MD
4615 Valleyview Dr,
Mansfield, TX 76063-6748
(817) 800-9446
Not Available

Map and Direction




Physician's Profile

Full NameOlugbeminiyi I Olubanjo
GenderFemale
SpecialityFamily Medicine
Location4615 Valleyview Dr, Mansfield, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427274042
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 06/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567546906
  • Enrollment ID: I20080910000221

Medical Identifiers

Medical identifiers for Olugbeminiyi I Olubanjo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427274042NPI-NPPES
8BQ006OtherTXBCBS
11012909AOtherINRESIDENCY PERMIT
P00703560OtherTXRAILROAD MEDICARE
195929801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 11012909A (Indiana)Secondary
207Q00000XFamily Medicine N1033 (Texas)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. Olugbeminiyi I Olubanjo allows following entities to bill medicare on her behalf.
Entity NameCentrum Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376219543
PECOS PAC ID: 9234500984
Enrollment ID: O20230117002598

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. Olugbeminiyi I Olubanjo 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
Olugbeminiyi I Olubanjo, MD
4615 Valleyview Dr,
Mansfield, TX 76063-6748

Ph: (817) 800-9446		Olugbeminiyi I Olubanjo, MD
4615 Valleyview Dr,
Mansfield, TX 76063-6748

Ph: (817) 800-9446

Reviews and Comments


Family Medicine Doctors in Mansfield, TX

John Paul Hood, D.O.
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Practice Location: 1751 Broad Park Cir S Ste 203, Mansfield, TX 76063
Phone: 817-539-7377    Fax: 817-842-5505
Dr. Karla Rae Dick, DO
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Practice Location: 3601 N Highway 157, Mansfield, TX 76063
Phone: 817-473-7962    Fax: 682-518-7912
Christie U. Egbuchunam, MD
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Phone: 817-453-2323    Fax: 817-453-2322
Lora Plumlee Boone, DO
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Practice Location: 3601 Highway 157 N, Mansfield, TX 76063
Phone: 817-473-7962    
Linda Nguyen Palsky, RN
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Practice Location: 3020 E Broad St Ste 100, Mansfield, TX 76063
Phone: 682-282-4014    
Mr. Doyle Fairchild Gallman Jr., D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 2360 Highway 157 N, Mansfield, TX 76063
Phone: 817-453-2123    Fax: 817-453-2151
Nicole Unkart, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 501 E Broad St, Mansfield, TX 76063
Phone: 214-947-5441    

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.