Folafoluwa Olutobi Odetola, MB, CHB - Medicare Pediatrics in Ann Arbor, MI

Folafoluwa Olutobi Odetola, MB, CHB is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Ann Arbor, Michigan. His current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 936-4000.

Folafoluwa Olutobi Odetola is licensed to practice in Michigan (license number 4301072481) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376557397.

Contact Information

Folafoluwa Olutobi Odetola, MB, CHB
1500 E Medical Center Dr,
Ann Arbor, MI 48109-5000
(734) 936-4000
Not Available



Physician's Profile

Full NameFolafoluwa Olutobi Odetola
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376557397
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890849715
  • Enrollment ID: I20090812000206

Medical Identifiers

Medical identifiers for Folafoluwa Olutobi Odetola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376557397NPI-NPPES
4474265MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 4301072481 (Michigan)Primary
208000000XPediatrics 4301072481 (Michigan)Secondary

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. Folafoluwa Olutobi Odetola allows following entities to bill medicare on his behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868353
PECOS PAC ID: 3779496856
Enrollment ID: O20031106000325

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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. Folafoluwa Olutobi Odetola 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
Folafoluwa Olutobi Odetola, MB, CHB
3621 S State St,
Ann Arbor, MI 48108-1633

Ph: (734) 647-5299
Folafoluwa Olutobi Odetola, MB, CHB
1500 E Medical Center Dr,
Ann Arbor, MI 48109-5000

Ph: (734) 936-4000

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Pediatrics Doctors in Ann Arbor, MI

Dr. Michael Edmund Watson, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Joanna Van Beek, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Medical Center Dr, D3238 Mpb Spc 5718, Ann Arbor, MI 48109
Phone: 734-763-5589    Fax: 734-763-4208
Ashleigh Grund El Sakr, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4900 Jackson Rd Ste A, Ann Arbor, MI 48103
Phone: 734-998-7380    
Jennifer Rose Blase, MD, PH.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Vishvanie Bernadene Stoody, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Maysa Hamade, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Alejandro Velez Lopez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    

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