Dr Adekunle Elegbede, MD, PHD is a medicare enrolled "Plastic Surgery" provider in Jacksonville, Florida. He graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Mayo Clinic Jacksonville and his current practice location is
4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 953-2000.
Dr Adekunle Elegbede is licensed to practice in Florida (license number ME163182) 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 1629404603.
Healthcare Provider's Profile
| Full Name | Dr Adekunle Elegbede |
|---|
| Gender | Male |
|---|
| Speciality | Plastic And Reconstructive Surgery |
|---|
| Experience | 10 Years |
|---|
| Location | 4500 San Pablo Rd S, Jacksonville, Florida |
|---|
| 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 Adekunle Elegbede graduated from medical school in 2015
NPI Data:
- NPI Number: 1629404603
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446562615
- Enrollment ID: I20230803003536
Medical Identifiers
Medical identifiers for Dr Adekunle Elegbede such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629404603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 03230465 (Ohio) | Secondary |
| 208200000X | Plastic Surgery | T5554 (Texas) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | T5554 (Texas) | Secondary |
| 208200000X | Plastic Surgery | ME163182 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mayo Clinic Jacksonville | 5698689297 | 1429 |
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 Adekunle Elegbede allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic Jacksonville |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
|---|
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 Adekunle Elegbede 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 Adekunle Elegbede, MD, PHD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Dr Adekunle Elegbede, MD, PHD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 |
Reviews and Comments