Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS in Tyler, TX - Medicare Physical Therapy Provider

Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Tyler, Texas. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 751 S Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 707-8099.

Olusegun Bodunrin Ayadi Jr is licensed to practice in Texas (license number 1337885) 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 1639783442.

Contact Information

	Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS
	751 S Beckham Ave, Tyler, TX 75701-1903
	(903) 707-8099
	(903) 258-9194

Map and Direction

Healthcare Provider's Profile

Full Name	Olusegun Bodunrin Ayadi Jr
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	751 S Beckham Ave, Tyler, Texas
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:

Olusegun Bodunrin Ayadi Jr graduated from medical school in 2020

NPI Data:

NPI Number: 1639783442
Provider Enumeration Date: 08/31/2020
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4183043680
Enrollment ID: I20201002000726

Medical Identifiers

Medical identifiers for Olusegun Bodunrin Ayadi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639783442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1337885 (Texas)	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. Olusegun Bodunrin Ayadi Jr allows following entities to bill medicare on his behalf.

Provider Name	Theraworks Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861531451 PECOS PAC ID: 9133039647 Enrollment ID: O20070814000276

Provider Name	Marston Shaun Holt Md Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841513371 PECOS PAC ID: 1456534288 Enrollment ID: O20110331000482

Provider Name	Pain Away Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861118481 PECOS PAC ID: 4284092792 Enrollment ID: O20230615000471

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. Olusegun Bodunrin Ayadi Jr 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
Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS 751 S Beckham Ave, Tyler, TX 75701-1903 Ph: (903) 707-8099	Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS 751 S Beckham Ave, Tyler, TX 75701-1903 Ph: (903) 707-8099

Reviews and Comments

Physical Therapist in Tyler, TX

Cynthia Ann Manes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S Broadway Ave, 500, Tyler, TX 75702 Phone: 903-245-6632 Fax: 903-531-2451
Colette K Boyd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386
Mr. Terry Alan Bunker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5407 New Copeland Rd, Suite 100, Tyler, TX 75703 Phone: 903-630-7204 Fax: 903-630-7205
Mark Roland Saczek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-536-3123 Fax: 903-596-3122
Mr. Timothy A Lyke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3151 Fax: 903-569-0110
Joanna Marie Chan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Persimmon Dr, Tyler, TX 75707 Phone: 903-253-8318
Stormy Case, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001

Olusegun Bodunrin Ayadi Jr, PT, DPT, CSCS - Medicare Physical Therapist in Tyler, TX