Dr Olusola Olasupo Adegoke, MD MPH - Medicare Family Practice in Apple Valley, MN

Dr Olusola Olasupo Adegoke, MD MPH is a medicare enrolled "Family Medicine" physician in Apple Valley, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healthpartners Medical Group, St. Croix Regional Medical Center and his current practice location is 15290 Pennock Ln, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 853-8800.

Dr Olusola Olasupo Adegoke is licensed to practice in Minnesota (license number 59639) 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 1619311586.

Contact Information

Dr Olusola Olasupo Adegoke, MD MPH
15290 Pennock Ln,
Apple Valley, MN 55124-7163
(952) 853-8800
(952) 431-6966



Physician's Profile

Full NameDr Olusola Olasupo Adegoke
GenderMale
SpecialityFamily Practice
Experience19 Years
Location15290 Pennock Ln, Apple Valley, Minnesota
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 Olusola Olasupo Adegoke graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1619311586
  • Provider Enumeration Date: 04/23/2013
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547578932
  • Enrollment ID: I20151005002194

Medical Identifiers

Medical identifiers for Dr Olusola Olasupo Adegoke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619311586NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 59639 (Minnesota)Primary
207Q00000XFamily Medicine 65487 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regions HospitalSaint paul, MNHospital
St Croix Regional Medical CtrSaint croix falls, WIHospital
Lakeview Memorial HospitalStillwater, MNHospital
Westfields Hospital And ClinicNew richmond, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthpartners Medical Group17592939541430
St. Croix Regional Medical Center9335032184164

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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 Olusola Olasupo Adegoke allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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Entity NameHutchinson Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053508820
PECOS PAC ID: 0345330072
Enrollment ID: O20080312000695

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Entity NameHealthpartners Rc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649470782
PECOS PAC ID: 5890126726
Enrollment ID: O20200618000378

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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 Olusola Olasupo Adegoke 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 Olusola Olasupo Adegoke, MD MPH
8170 33rd Ave S # Ms 21110q,
Minneapolis, MN 55425-4516

Ph: () -
Dr Olusola Olasupo Adegoke, MD MPH
15290 Pennock Ln,
Apple Valley, MN 55124-7163

Ph: (952) 853-8800

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Family Medicine Doctors in Apple Valley, MN

Jeffrey R Michell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124
Phone: 952-997-4177    
Stephen Joseph Craane, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
Todd Joseph Stolpman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124
Phone: 952-432-6161    Fax: 952-432-7019
Holly A Hett, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124
Phone: 952-432-6161    Fax: 952-432-7019
David P Dillon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
April Coming Hay, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124
Phone: 952-997-4100    
Christopher Balgobin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124
Phone: 952-997-4100    

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