Tinuade Olusegun, MD in Port Orange, FL - Medicare Internal Medicine

Tinuade Olusegun, MD is a medicare enrolled "Internal Medicine" physician in Port Orange, Florida. Her current practice location is 4645 Clyde Morris Blvd Ste 404, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 855-8633.

Tinuade Olusegun is licensed to practice in Florida (license number ME137495) 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 1760649917.

Contact Information

	Tinuade Olusegun, MD
	4645 Clyde Morris Blvd Ste 404, Port Orange, FL 32129-3005
	(386) 855-8633
	(855) 857-5810

Map and Direction

Physician's Profile

Full Name	Tinuade Olusegun
Gender	Female
Speciality	Internal Medicine
Location	4645 Clyde Morris Blvd Ste 404, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760649917
Provider Enumeration Date: 05/16/2008
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6406993971
Enrollment ID: I20190124003568

Medical Identifiers

Medical identifiers for Tinuade Olusegun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760649917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	N3663 (Texas)	Secondary
207R00000X	Internal Medicine	ME137495 (Florida)	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. Tinuade Olusegun allows following entities to bill medicare on her behalf.

Entity Name	Verdure Exclusive Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295221711 PECOS PAC ID: 5698012946 Enrollment ID: O20190124003498

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. Tinuade Olusegun 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
Tinuade Olusegun, MD 4645 Clyde Morris Blvd Ste 404, Port Orange, FL 32129-3005 Ph: (386) 855-8633	Tinuade Olusegun, MD 4645 Clyde Morris Blvd Ste 404, Port Orange, FL 32129-3005 Ph: (386) 855-8633

Reviews and Comments

Internal Medicine Doctors in Port Orange, FL

Vrushak Deshpande, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Andrea Soledad Pagan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-756-8802
Dr. Gregory J. Stella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 Phone: 386-788-1242 Fax: 386-788-4255
Hardik Shah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129 Phone: 386-788-1242
Souheil Moussly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3890 Turtle Creek Dr, Port Orange, FL 32129 Phone: 386-756-4400 Fax: 386-756-3031
Robert Morris Harpold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3953 S Nova Rd Ste B, Port Orange, FL 32127 Phone: 386-788-4911 Fax: 844-388-6186
Dr. Ashraf S Elsakr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Dunlawton Ave, Ste A, Port Orange, FL 32127 Phone: 386-304-9672 Fax: 386-304-9673

Tinuade Olusegun, MD - Medicare Internal Medicine in Port Orange, FL