Dr Erhime T Badejo, MD MSN is a medicare enrolled "Family Medicine" in Carbondale, Illinois. Her current practice location is
305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 536-6621.
Dr Erhime T Badejo is licensed to practice in Illinois (license number 125067577) 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 1073599767.
Provider's Profile
| Full Name | Dr Erhime T Badejo |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 305 W Jackson St Ste 200, Carbondale, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073599767
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 10/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 9638473127
- Enrollment ID: I20180201001484
Medical Identifiers
Medical identifiers for Dr Erhime T Badejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073599767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 2004020321 (Missouri) | Secondary |
| 163W00000X | Registered Nurse | 2004020321 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 125067577 (Illinois) | Primary |
| 208D00000X | General Practice | 125067577 (Illinois) | Secondary |
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. Dr Erhime T Badejo allows following entities to bill medicare on her behalf.
| Entity Name | Integritas Emergency Physician Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760 |
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| Entity Name | Statera Health Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284 |
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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. Dr Erhime T Badejo 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 |
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Dr Erhime T Badejo, MD MSN
305 W Jackson St Ste 200, Carbondale Family Medicine,
Carbondale, IL 62901-1474
Ph: (618) 536-6621 | Dr Erhime T Badejo, MD MSN
305 W Jackson St Ste 200, Carbondale Family Medicine,
Carbondale, IL 62901-1474
Ph: (618) 536-6621 |
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