Dr Bolaji Olugboja, - Medicare Nurse Practitioner in Randallstown, MD

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Dr Bolaji Olugboja, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Randallstown, Maryland. Her current practice location is 8515 Liberty Rd Ste B, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 301-6767.

Dr Bolaji Olugboja is licensed to practice in Maryland (license number R178347) 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 1689005043.

Contact Information

Dr Bolaji Olugboja,
8515 Liberty Rd Ste B,
Randallstown, MD 21133-4832
(410) 301-6767
(410) 496-3121

Map and Direction




Physician's Profile

Full NameDr Bolaji Olugboja
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8515 Liberty Rd Ste B, Randallstown, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689005043
  • Provider Enumeration Date: 12/10/2013
  • Last Update Date: 12/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860793460
  • Enrollment ID: I20151228001255

Medical Identifiers

Medical identifiers for Dr Bolaji Olugboja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689005043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine R178347 (Maryland)Secondary
363LF0000XNurse Practitioner - Family R178347 (Maryland)Secondary
363LP2300XNurse Practitioner - Primary Care R210237 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R178347 (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. Dr Bolaji Olugboja allows following entities to bill medicare on her behalf.
Entity Name1st Medical Of Annapolis, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922282425
PECOS PAC ID: 6406754738
Enrollment ID: O20031223000759
Entity Name1st Medical Pain Management Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902348659
PECOS PAC ID: 4981017357
Enrollment ID: O20201231000797
Entity NameLiberty Family Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124640974
PECOS PAC ID: 6608289798
Enrollment ID: O20210111000523

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. Dr Bolaji Olugboja 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
Dr Bolaji Olugboja,
8515 Liberty Rd Ste B,
Randallstown, MD 21133-4832

Ph: (410) 301-6767		Dr Bolaji Olugboja,
8515 Liberty Rd Ste B,
Randallstown, MD 21133-4832

Ph: (410) 301-6767

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.