Olufemi Otubanjo, PA-C - Medicare Physician Assistant in Elkridge, MD

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Olufemi Otubanjo, PA-C is a medicare enrolled "Physician Assistant" in Elkridge, Maryland. He went to Howard University College Of Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Patient First Maryland Medical Group Pllc, Medstar Urgent Care Llc, Patient First Maryland Medical Group Pllc, Comprehensive Primary Care And Associates Llc, Medstar Urgent Care Llc, Capital Healthcare Pc and his current practice location is 6480 Old Waterloo Rd, Elkridge, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 799-0291.

Olufemi Otubanjo is licensed to practice in Maryland (license number C004195) 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 1336450220.

Contact Information

Olufemi Otubanjo, PA-C
6480 Old Waterloo Rd,
Elkridge, MD 21075-6508
(410) 799-0291
Not Available

Map and Direction




Provider's Profile

Full NameOlufemi Otubanjo
GenderMale
SpecialityPhysician Assistant
Experience17 Years
Location6480 Old Waterloo Rd, Elkridge, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olufemi Otubanjo attended and graduated from Howard University College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1336450220
  • Provider Enumeration Date: 06/25/2010
  • Last Update Date: 05/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971729062
  • Enrollment ID: I20140725001439

Medical Identifiers

Medical identifiers for Olufemi Otubanjo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336450220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical C0004195 (Maryland)Secondary
363A00000XPhysician Assistant C004195 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Patient First Maryland Medical Group Pllc4385538735258
Medstar Urgent Care Llc9335303155300
Patient First Maryland Medical Group Pllc4385538735258
Comprehensive Primary Care And Associates Llc5092991984167
Medstar Urgent Care Llc9335303155300
Capital Healthcare Pc3779723309102

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. Olufemi Otubanjo allows following entities to bill medicare on his behalf.
Entity NamePatient First Maryland Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962423632
PECOS PAC ID: 4385538735
Enrollment ID: O20040209000543
Entity NameMinuteclinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20050127001141
Entity NameMedstar Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902175870
PECOS PAC ID: 9335303155
Enrollment ID: O20120607000236
Entity NameCapital Healthcare PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811239627
PECOS PAC ID: 3779723309
Enrollment ID: O20170918001050
Entity NameComprehensive Primary Care and Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831492586
PECOS PAC ID: 5092991984
Enrollment ID: O20250619002578

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. Olufemi Otubanjo 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 AddressPractice Location Address
Olufemi Otubanjo, PA-C
6480 Old Waterloo Rd,
Elkridge, MD 21075-6508

Ph: (202) 340-4399		Olufemi Otubanjo, PA-C
6480 Old Waterloo Rd,
Elkridge, MD 21075-6508

Ph: (410) 799-0291

Reviews and Comments


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Phone: 410-872-1600    Fax: 410-799-1595
Janet Angelique Browne-avery, PA-C
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Medicare: Medicare Enrolled
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Phone: 443-871-1876    Fax: 866-515-2777

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.