Dr Olabode Olaosebikan Desalu, MD - Medicare Pediatrics in Springdale, AR

Dr Olabode Olaosebikan Desalu, MD is a medicare enrolled "Pediatrics" physician in Springdale, Arkansas. Her current practice location is 2601 Gene George Blvd, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 725-6977.

Dr Olabode Olaosebikan Desalu is licensed to practice in Arkansas (license number E-11228) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093732950.

Contact Information

Dr Olabode Olaosebikan Desalu, MD
2601 Gene George Blvd,
Springdale, AR 72762-0845
(479) 725-6977
(479) 725-6577



Physician's Profile

Full NameDr Olabode Olaosebikan Desalu
GenderFemale
SpecialityPediatrics
Location2601 Gene George Blvd, Springdale, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093732950
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 01/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608856091
  • Enrollment ID: I20040726000234

Medical Identifiers

Medical identifiers for Dr Olabode Olaosebikan Desalu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093732950NPI-NPPES
1470635MedicaidLA
176387001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics T2018-031 (Arkansas)Secondary
208000000XPediatrics 15345R (Louisiana)Secondary
208000000XPediatrics E-11228 (Arkansas)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. Dr Olabode Olaosebikan Desalu allows following entities to bill medicare on her behalf.
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307

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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 Olabode Olaosebikan Desalu 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 Olabode Olaosebikan Desalu, MD
1 Children's Way, Slot 844,
Little Rock, AR 72202-3500

Ph: (501) 364-2090
Dr Olabode Olaosebikan Desalu, MD
2601 Gene George Blvd,
Springdale, AR 72762-0845

Ph: (479) 725-6977

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Pediatrics Doctors in Springdale, AR

Jeffrey Dale Grills, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6977    Fax: 479-725-6577
Casie Marie James, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6866    Fax: 479-725-6868
Dr. Sarah Morris Weston, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6977    Fax: 479-725-6577
Andrew Arthur Martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 794-725-6801    Fax: 479-725-6577
Sarah Jeffreys,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6801    Fax: 479-725-6577
Kaitlyn Reid, CNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6905    

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