Kolade Kehinde Obajuluwa, MD - Medicare Pediatrics in Douglasville, GA

Kolade Kehinde Obajuluwa, MD is a medicare enrolled "Pediatrics" physician in Douglasville, Georgia. His current practice location is 6043 Prestley Mill Rd Ste E, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 920-2255.

Kolade Kehinde Obajuluwa is licensed to practice in Illinois (license number 036127051) 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 1184859027.

Contact Information

Kolade Kehinde Obajuluwa, MD
6043 Prestley Mill Rd Ste E,
Douglasville, GA 30134-2280
(770) 920-2255
(770) 489-3951



Physician's Profile

Full NameKolade Kehinde Obajuluwa
GenderMale
SpecialityPediatrics
Location6043 Prestley Mill Rd Ste E, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184859027
  • Provider Enumeration Date: 05/21/2009
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3274701313
  • Enrollment ID: I20161116002469

Medical Identifiers

Medical identifiers for Kolade Kehinde Obajuluwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184859027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036127051 (Illinois)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. Kolade Kehinde Obajuluwa allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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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. Kolade Kehinde Obajuluwa 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
Kolade Kehinde Obajuluwa, MD
6043 Prestley Mill Rd Ste E,
Douglasville, GA 30134-2280

Ph: (770) 920-2255
Kolade Kehinde Obajuluwa, MD
6043 Prestley Mill Rd Ste E,
Douglasville, GA 30134-2280

Ph: (770) 920-2255

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Pediatrics Doctors in Douglasville, GA

Dr. Abolhassan Yamin, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8503 Campbellton St, Douglasville, GA 30134
Phone: 770-949-9985    Fax: 770-949-6213
Dr. Bridget Dauphin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Dr. Suzanne Lee Fox, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Dr. Eteshamul Huque, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Edgar Melendez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8355 Cherokee Blvd Ste 200, Douglasville, GA 30134
Phone: 678-400-5106    
Yassmin Ahmed Yousef, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963

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