Mrs Adeshewa Adekunbi, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Davidsonville, Maryland. Her current practice location is
3704 Birkdale Ct, Davidsonville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 646-1520.
Mrs Adeshewa Adekunbi is licensed to practice in Maryland (license number 1083134829) 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 1083134829.
Physician's Profile
Full Name | Mrs Adeshewa Adekunbi |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 3704 Birkdale Ct, Davidsonville, 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: 1083134829
- Provider Enumeration Date: 06/22/2017
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911276019
- Enrollment ID: I20240307004282
Medical Identifiers
Medical identifiers for Mrs Adeshewa Adekunbi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083134829 | NPI | - | NPPES |
1083134829 | Other | MD | NON-MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 1083134829 (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. Mrs Adeshewa Adekunbi allows following entities to bill medicare on her behalf.
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
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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. Mrs Adeshewa Adekunbi 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 |
Mrs Adeshewa Adekunbi, MD 3704 Birkdale Ct, Davidsonville, MD 21035-1172 Ph: (301) 646-1520 | Mrs Adeshewa Adekunbi, MD 3704 Birkdale Ct, Davidsonville, MD 21035-1172 Ph: (301) 646-1520 |
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