Mr Khari Abayomi Omolara, MD - Medicare Psychiatry in Bogue Chitto, MS

Mr Khari Abayomi Omolara, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bogue Chitto, Mississippi. He went to Morehouse School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Psychiatry. His current practice location is 394 Imperial Ln Sw, Bogue Chitto, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 996-1758.

Mr Khari Abayomi Omolara is licensed to practice in Mississippi (license number 17619) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477669380.

Contact Information

Mr Khari Abayomi Omolara, MD
394 Imperial Ln Sw,
Bogue Chitto, MS 39629-8231
(601) 996-1758
(601) 797-8406



Physician's Profile

Full NameMr Khari Abayomi Omolara
GenderMale
SpecialityPsychiatry
Experience25 Years
Location394 Imperial Ln Sw, Bogue Chitto, Mississippi
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Khari Abayomi Omolara attended and graduated from Morehouse School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1477669380
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517944903
  • Enrollment ID: I20230728003172

Medical Identifiers

Medical identifiers for Mr Khari Abayomi Omolara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477669380NPI-NPPES
000126454MedicaidMS
3663198MedicaidLA
009120058MedicaidMS
2522183MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 17619 (Mississippi)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. Mr Khari Abayomi Omolara allows following entities to bill medicare on his behalf.
Entity NameMississippi Behavioral Health Treatment Institute Incorporated Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811367113
PECOS PAC ID: 6002113784
Enrollment ID: O20230728003119

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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. Mr Khari Abayomi Omolara 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
Mr Khari Abayomi Omolara, MD
Po Box 3129,
Brookhaven, MS 39603-7129

Ph: (601) 445-1922
Mr Khari Abayomi Omolara, MD
394 Imperial Ln Sw,
Bogue Chitto, MS 39629-8231

Ph: (601) 996-1758

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Psychiatry & Neurology Doctors in Bogue Chitto, MS


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