Omodele Julie Masha, MD in Statesville, NC

Omodele Julie Masha, MD is a medicare enrolled "Pediatrics" physician in Statesville, North Carolina. Her current practice location is 518 Brookdale Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 872-9595.

Omodele Julie Masha is licensed to practice in North Carolina (license number 2009-01717) 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 1528164324.

Contact Information

	Omodele Julie Masha, MD
	518 Brookdale Dr, Statesville, NC 28677-4108
	(704) 872-9595
	Not Available

Map and Direction

Physician's Profile

Full Name	Omodele Julie Masha
Gender	Female
Speciality	Pediatrics
Location	518 Brookdale Dr, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528164324
Provider Enumeration Date: 09/16/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 7012951494
Enrollment ID: I20091007000446

Medical Identifiers

Medical identifiers for Omodele Julie Masha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528164324	NPI	-	NPPES
09430542	Medicaid	MS
154VV	Other	NC	BCNC
1051675	Medicaid	LA
NC1004	Medicaid	SC
1528164324	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2009-01717 (North Carolina)	Secondary
207R00000X	Internal Medicine	2009-01717 (North Carolina)	Secondary
208000000X	Pediatrics	2009-01717 (North Carolina)	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. Omodele Julie Masha allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Transylvania Community Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174549208 PECOS PAC ID: 4880592427 Enrollment ID: O20031222000135

Entity Name	Henderson County Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447444559 PECOS PAC ID: 8123938115 Enrollment ID: O20040611001396

Entity Name	Gaston Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

Entity Name	Apogee Medical Group North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043518228 PECOS PAC ID: 7719162254 Enrollment ID: O20110427000840

Entity Name	Vohra Wound Physicians Of Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447527320 PECOS PAC ID: 0446410435 Enrollment ID: O20140130001996

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. Omodele Julie Masha 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
Omodele Julie Masha, MD 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-0567	Omodele Julie Masha, MD 518 Brookdale Dr, Statesville, NC 28677-4108 Ph: (704) 872-9595

Reviews and Comments

Pediatrics Doctors in Statesville, NC

Dr. Jon Ryan Hutchinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 558 Kitchings Dr, Statesville, NC 28677 Phone: 704-838-8255 Fax: 704-871-9099
Elizabeth Whitley Fickling Rashley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Ellyn Pearson Mullis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-768-2088 Fax: 704-768-2081
Geoffrey Alan Abell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Thomas St Ste A, Statesville, NC 28677 Phone: 704-872-9595 Fax: 704-872-5851
Walter Curtis Gessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Andrea Evbu Iyekepolo, Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 Fax: 704-924-4282
Kaitlin M Pace, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 217 Sundance Cir, Statesville, NC 28625 Phone: 336-262-4921

Omodele Julie Masha, MD - Medicare Pediatrics in Statesville, NC