Dr Kingsley Otsioren Abode-iyamah, MD - Medicare Neurosurgery in Jacksonville, FL

Dr Kingsley Otsioren Abode-iyamah, MD is a medicare enrolled "Neurological Surgery" physician in Jacksonville, Florida. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Mayo Clinic - Florida 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 Kingsley Otsioren Abode-iyamah is licensed to practice in Florida (license number ME135498) 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 1578859484.

Contact Information

Dr Kingsley Otsioren Abode-iyamah, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224
(904) 953-2000
Not Available



Physician's Profile

Full NameDr Kingsley Otsioren Abode-iyamah
GenderMale
SpecialityNeurosurgery
Experience13 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
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:
  • Dr Kingsley Otsioren Abode-iyamah attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1578859484
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557501798
  • Enrollment ID: I20180615002192

Medical Identifiers

Medical identifiers for Dr Kingsley Otsioren Abode-iyamah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578859484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery R9287 (Iowa)Secondary
207T00000XNeurological Surgery ME135498 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic FloridaJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic - Florida56986892971310

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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 Kingsley Otsioren Abode-iyamah allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388

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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 Kingsley Otsioren Abode-iyamah 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
Dr Kingsley Otsioren Abode-iyamah, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000
Dr Kingsley Otsioren Abode-iyamah, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224

Ph: (904) 953-2000

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Neurological Surgery Doctors in Jacksonville, FL

Dr. Dunbar Alcindor, M.D
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 580 W 8th St, Tower 1 -8th Floor, Jacksonville, FL 32209
Phone: 904-244-9052    
Clarence Watridge, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Hector Edward James, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 836 Prudential Dr, Ufjp Neurosurgery - Pediatrics, Jacksonville, FL 32207
Phone: 904-398-5201    Fax: 904-244-3425
Carlos Perez Vega, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Bernard H. Guiot, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 14810 Old Saint Augustine Rd Ste 207, Jacksonville, FL 32258
Phone: 904-217-7450    Fax: 904-217-7483
Rachel Stein, DO
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Amos Olabisi Dare, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211
Phone: 904-743-9222    Fax: 904-743-9225

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