Shamusideen Olayibo Ogbulu, MD in Whiteville, NC

Shamusideen Olayibo Ogbulu, MD is a medicare enrolled "Hospitalist" physician in Whiteville, North Carolina. He graduated from medical school in 1995 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mcv Associated Physicians, Vidant Medical Group Llc and his current practice location is 500 Jefferson Street, Whiteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 642-1776.

Shamusideen Olayibo Ogbulu is licensed to practice in North Carolina (license number 2011-01350) 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 1144478736.

Contact Information

	Shamusideen Olayibo Ogbulu, MD
	500 Jefferson Street, Whiteville, NC 28472-3634
	(910) 642-1776
	Not Available

Map and Direction

Physician's Profile

Full Name	Shamusideen Olayibo Ogbulu
Gender	Male
Speciality	Internal Medicine
Experience	31 Years
Location	500 Jefferson Street, Whiteville, North Carolina
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:

Shamusideen Olayibo Ogbulu graduated from medical school in 1995

NPI Data:

NPI Number: 1144478736
Provider Enumeration Date: 09/08/2008
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4688741812
Enrollment ID: I20170315002527

Medical Identifiers

Medical identifiers for Shamusideen Olayibo Ogbulu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144478736	NPI	-	NPPES
000000584350	Other	IN	ANTHEM PIN
200913430	Medicaid	IN
NC1486	Medicaid	SC
P00657204	Other	IN	RR MEDICARE PIN
5918627	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01065806A (Indiana)	Secondary
207R00000X	Internal Medicine	2011-01350 (North Carolina)	Secondary
208M00000X	Hospitalist	0101258916 (Virginia)	Secondary
208M00000X	Hospitalist	01065806A (Indiana)	Secondary
208M00000X	Hospitalist	2011-01350 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Roanoke Chowan Hospital	Ahoskie, NC	Hospital
Community Memorial Hospital	South hill, VA	Hospital
Vidant Medical Center	Greenville, NC	Hospital
Vidant Bertie Hospital	Windsor, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcv Associated Physicians	4385542117	1784
Vidant Medical Group Llc	0345343893	971

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. Shamusideen Olayibo Ogbulu allows following entities to bill medicare on his behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

Entity Name	Riverside Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400

Entity Name	Cmh Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171

Entity Name	Lake Spring Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449

Entity Name	Ingleside Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932693488 PECOS PAC ID: 6103174255 Enrollment ID: O20180806001778

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. Shamusideen Olayibo Ogbulu 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
Shamusideen Olayibo Ogbulu, MD Po Box 601992, Charlotte, NC 28260-1992 Ph: (910) 642-1776	Shamusideen Olayibo Ogbulu, MD 500 Jefferson Street, Whiteville, NC 28472-3634 Ph: (910) 642-1776

Reviews and Comments

Hospitalist Doctors in Whiteville, NC

Thomas Michael Duggan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Vellayat Ali, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Sandeep Raghow, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Maleah Rachelle Roth, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Dr. James E Boston, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776 Fax: 910-642-9305
Ana Maria Hubert, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776
Marianne Rachelle L. Taganas, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson St, Whiteville, NC 28472 Phone: 910-642-1776

Shamusideen Olayibo Ogbulu, MD - Medicare Internal Medicine in Whiteville, NC