Dr Motunrayo Adisa, MD - Medicare Dermatology in Chicago, IL

Dr Motunrayo Adisa, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Chicago, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatologists Of Illinois, Pllc and her current practice location is 680 N Lake Shore Dr Ste 1208, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 483-4397.

Dr Motunrayo Adisa is licensed to practice in Illinois (license number 036125295) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326229121.

Contact Information

Dr Motunrayo Adisa, MD
680 N Lake Shore Dr Ste 1208,
Chicago, IL 60611-8701
(312) 483-4397
Not Available



Physician's Profile

Full NameDr Motunrayo Adisa
GenderFemale
SpecialityDermatology
Experience17 Years
Location680 N Lake Shore Dr Ste 1208, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Motunrayo Adisa graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1326229121
  • Provider Enumeration Date: 11/20/2007
  • Last Update Date: 12/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880851583
  • Enrollment ID: I20120208000608

Medical Identifiers

Medical identifiers for Dr Motunrayo Adisa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326229121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 125-052-665 (Illinois)Secondary
207ND0900XDermatology - Dermatopathology 256848 (Massachusetts)Secondary
207R00000XInternal Medicine 125-052-665 (Illinois)Secondary
207ND0900XDermatology - Dermatopathology 036125295 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatologists Of Illinois, Pllc95371280048

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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 Motunrayo Adisa allows following entities to bill medicare on her behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457360703
PECOS PAC ID: 9234129206
Enrollment ID: O20040513000487

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Entity NameDermatologists Of Illinois, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851358345
PECOS PAC ID: 9537128004
Enrollment ID: O20041008001130

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Entity NameDermatology Physicians Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063978138
PECOS PAC ID: 6800137183
Enrollment ID: O20190415001989

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› Verified 5 days ago

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 Motunrayo Adisa 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 Motunrayo Adisa, MD
60 E Delaware Pl, Ste 1450,
Chicago, IL 60611-6559

Ph: (773) 875-2029
Dr Motunrayo Adisa, MD
680 N Lake Shore Dr Ste 1208,
Chicago, IL 60611-8701

Ph: (312) 483-4397

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Read more News

› Verified 5 days ago


Dermatology Doctors in Chicago, IL

Edward Binghang Li, MD, PHD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 251 E Huron St, Chicago, IL 60611
Phone: 617-732-5500    
Joaquin Carlos Brieva, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611
Phone: 312-695-8106    Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601
Phone: 312-263-4625    Fax: 312-263-5029
Dr. James A Ida Jr., MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1663 W Carmen Ave, Chicago, IL 60640
Phone: 773-293-7500    
Erin M Ibler, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Stephen L Carter, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642
Phone: 773-276-1100    Fax: 773-276-1102

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