Ekundayo Koyinsola Sogbesan, LGPC is a medicare enrolled "Counselor - Mental Health" provider in Sandy Spring, Maryland. Her current practice location is
913 Olney Sandy Spring Rd, Sandy Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 278-6535.
Ekundayo Koyinsola Sogbesan is licensed to practice in Maryland (license number LC15219) 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 1962170902.
Healthcare Provider's Profile
Full Name | Ekundayo Koyinsola Sogbesan |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 913 Olney Sandy Spring Rd, Sandy Spring, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962170902
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305382946
- Enrollment ID: I20240719000959
Medical Identifiers
Medical identifiers for Ekundayo Koyinsola Sogbesan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962170902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC15219 (Maryland) | 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. Ekundayo Koyinsola Sogbesan allows following entities to bill medicare on her behalf.
Entity Name | Divine Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184291155 PECOS PAC ID: 4587108303 Enrollment ID: O20240703000566 |
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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. Ekundayo Koyinsola Sogbesan 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 Address | Practice Location Address |
Ekundayo Koyinsola Sogbesan, LGPC 3206 La Dova Way, Upper Marlboro, MD 20774-2541 Ph: (240) 639-4993 | Ekundayo Koyinsola Sogbesan, LGPC 913 Olney Sandy Spring Rd, Sandy Spring, MD 20860-1318 Ph: (301) 278-6535 |
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