Dr Gbenga Adeyemi Adeyeye, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" in Baltimore, Maryland. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2019 and has 7 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is
9000 Franklin Square Dr, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(757) 619-2749.
Dr Gbenga Adeyemi Adeyeye is licensed to practice in New York (license number 330954) 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 1053654814.
Provider's Profile
| Full Name | Dr Gbenga Adeyemi Adeyeye |
|---|
| Gender | Male |
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| Speciality | Interventional Radiology |
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| Experience | 7 Years |
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| Location | 9000 Franklin Square Dr, Baltimore, Maryland |
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| 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:
- Dr Gbenga Adeyemi Adeyeye attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2019
NPI Data:
- NPI Number: 1053654814
- Provider Enumeration Date: 03/30/2013
- Last Update Date: 04/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971742974
- Enrollment ID: I20250708000426
Medical Identifiers
Medical identifiers for Dr Gbenga Adeyemi Adeyeye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053654814 | NPI | - | NPPES |
| 10106951P | Other | VA | OPTIMA HEALTH PLAN |
| 1053654814 | Medicaid | VA | |
| 493474 | Other | VA | BCBSVA |
| P01192419 | Other | VA | RAILROAD MEDICARE |
| 10106951P | Other | VA | SENTARA HEALTH PLAN |
| 1053654814 | Other | VA | TRICARE PRIME NETWORK |
| 10112734P | Other | VA | SENTARA HEALTH PLAN |
| 10112734P | Other | VA | OPTIMA HEALTH PLAN |
| 178PY | Other | VA | BCBSNC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | C05998 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 0110004213 (Virginia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 330954 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
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 Gbenga Adeyemi Adeyeye 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 |
Dr Gbenga Adeyemi Adeyeye, DO 3400 Rachel Ter Apt 18, Pine Brook, NJ 07058-9360 Ph: (757) 343-1829 | Dr Gbenga Adeyemi Adeyeye, DO 9000 Franklin Square Dr, Baltimore, MD 21237-3901 Ph: (757) 619-2749 |
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