Oluyomi O Olusanya, MD in Rolla, MO - Medicare Internal Medicine

Oluyomi O Olusanya, MD is a medicare enrolled "Internal Medicine" physician in Rolla, Missouri. He went to Boston University School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Phelps County Regional Medical Center and his current practice location is 1060 S Bishop Ave, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 426-5900.

Oluyomi O Olusanya is licensed to practice in Missouri (license number 2002009086) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457302937.

Contact Information

	Oluyomi O Olusanya, MD
	1060 S Bishop Ave, Rolla, MO 65401-4465
	(573) 426-5900
	(573) 426-4466

Map and Direction

Physician's Profile

Full Name	Oluyomi O Olusanya
Gender	Male
Speciality	Internal Medicine
Experience	26 Years
Location	1060 S Bishop Ave, Rolla, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Oluyomi O Olusanya attended and graduated from Boston University School Of Medicine in 1999

NPI Data:

NPI Number: 1457302937
Provider Enumeration Date: 05/12/2006
Last Update Date: 04/24/2013

Medicare PECOS Information:

PECOS PAC ID: 7315996394
Enrollment ID: I20050117000467

Medical Identifiers

Medical identifiers for Oluyomi O Olusanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457302937	NPI	-	NPPES
208747204	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2002009086 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps County Regional Medical Center	Rolla, MO	Hospital
Missouri Baptist Sullivan Hospital	Sullivan, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phelps County Regional Medical Center	2860391158	94

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. Oluyomi O Olusanya allows following entities to bill medicare on his behalf.

Entity Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Rolla Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326099417 PECOS PAC ID: 4789697863 Enrollment ID: O20060815000342

Entity Name	South Central Missouri Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164669172 PECOS PAC ID: 1355513581 Enrollment ID: O20111013000097

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. Oluyomi O Olusanya 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
Oluyomi O Olusanya, MD Po Box 932051, Kansas City, MO 64193-0001 Ph: (314) 989-0300	Oluyomi O Olusanya, MD 1060 S Bishop Ave, Rolla, MO 65401-4465 Ph: (573) 426-5900

Reviews and Comments

Internal Medicine Doctors in Rolla, MO

Dr. Donald L James, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-7545 Fax: 573-368-3672
Bohdan A Lebedowicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484
Dr. James J Spadaro Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480
Mark Pajeau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 855-406-3324 Fax: 573-458-8363
John Robertson Carr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Dr. Dmitry Familtsev, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480
Ethan James Porter, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-2108

Oluyomi O Olusanya, MD - Medicare Internal Medicine in Rolla, MO