Yetunde Anifowose, LPC in Evanston, IL - Medicare Counselor Provider

Yetunde Anifowose, LPC is a medicare enrolled "Counselor - Professional" provider in Evanston, Illinois. Her current practice location is 433 Dodge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 724-6565.

Yetunde Anifowose is licensed to practice in Illinois (license number 178.012877) 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 1417489337.

Contact Information

	Yetunde Anifowose, LPC
	433 Dodge Ave, Evanston, IL 60202-3253
	(708) 724-6565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yetunde Anifowose
Gender	Female
Speciality	Counselor - Professional
Location	433 Dodge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417489337
Provider Enumeration Date: 03/30/2017
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5496291965
Enrollment ID: I20240719002500

Medical Identifiers

Medical identifiers for Yetunde Anifowose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417489337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.012877 (Illinois)	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. Yetunde Anifowose allows following entities to bill medicare on her behalf.

Entity Name	Upmc Advanced Practice Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457769176 PECOS PAC ID: 4082836283 Enrollment ID: O20141103001512

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. Yetunde Anifowose 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
Yetunde Anifowose, LPC 433 Dodge Ave, Evanston, IL 60202-3253 Ph: () -	Yetunde Anifowose, LPC 433 Dodge Ave, Evanston, IL 60202-3253 Ph: (708) 724-6565

Reviews and Comments

Counselor in Evanston, IL

Anneliese Michelle Kranz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Church Street, Evanston, IL 60201 Phone: 717-385-9214
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Mrs. Eileen H Glenn, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Church St Ste 247, Evanston, IL 60201 Phone: 847-733-9661 Fax: 847-733-1571
Ms. Susan G Rowe, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 Sherman Ave, Suite 303, Evanston, IL 60201 Phone: 847-542-2300

Yetunde Anifowose, LPC - Medicare Counselor in Evanston, IL