Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC in Baltimore, MD

Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC is a medicare enrolled "Counselor - Mental Health" provider in Baltimore, Maryland. His current practice location is 16 W 25th St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 682-5807.

Omoruyi Ephraim Okundaye is licensed to practice in Maryland (license number LC17618) 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 1871900845.

Contact Information

	Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC
	16 W 25th St, Baltimore, MD 21218-5002
	(443) 682-5807
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Omoruyi Ephraim Okundaye
Gender	Male
Speciality	Counselor - Mental Health
Location	16 W 25th St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871900845
Provider Enumeration Date: 07/22/2014
Last Update Date: 07/22/2014

Medicare PECOS Information:

PECOS PAC ID: 9830523703
Enrollment ID: I20191231000796

Medical Identifiers

Medical identifiers for Omoruyi Ephraim Okundaye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871900845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCA369 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	LC17618 (Maryland)	Primary
101YP1600X	Counselor - Pastoral	(Maryland)	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. Omoruyi Ephraim Okundaye allows following entities to bill medicare on his behalf.

Entity Name	Supportive Care Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137

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. Omoruyi Ephraim Okundaye 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
Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC Po Box 7921, Essex, MD 21221-0921 Ph: (443) 682-5807	Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC 16 W 25th St, Baltimore, MD 21218-5002 Ph: (443) 682-5807

Reviews and Comments

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Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC - Medicare Counselor in Baltimore, MD