Mrs Olaitan Adesola Eboda, PMHNP-BC - Medicare Nurse Practitioner in Cherry Hill, NJ

Mrs Olaitan Adesola Eboda, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Cherry Hill, New Jersey. Her current practice location is 811 Church Rd Ste 219, Cherry Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 372-5963.

Mrs Olaitan Adesola Eboda is licensed to practice in New Jersey (license number 26NJ01343700) 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 1114652138.

Contact Information

Mrs Olaitan Adesola Eboda, PMHNP-BC
811 Church Rd Ste 219,
Cherry Hill, NJ 08002-1460
(732) 372-5963
Not Available

Map and Direction




Physician's Profile

Full NameMrs Olaitan Adesola Eboda
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location811 Church Rd Ste 219, Cherry Hill, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114652138
  • Provider Enumeration Date: 07/22/2022
  • Last Update Date: 03/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294110953
  • Enrollment ID: I20220915002683

Medical Identifiers

Medical identifiers for Mrs Olaitan Adesola Eboda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114652138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0802XPsychiatry & Neurology - Addiction Psychiatry 26NJ01343700 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01343700 (New Jersey)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 Olaitan Adesola Eboda allows following entities to bill medicare on her behalf.
Entity NameCounseling Center At Clark Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245637578
PECOS PAC ID: 3971990144
Enrollment ID: O20220419000848
Entity NameRhapsody Healthcare System Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265150718
PECOS PAC ID: 4385029040
Enrollment ID: O20220915002556
Entity NameCounseling Center At Freehold Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013269216
PECOS PAC ID: 8820460363
Enrollment ID: O20230210000601

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 Olaitan Adesola Eboda 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
Mrs Olaitan Adesola Eboda, PMHNP-BC
811 Church Rd Ste 219,
Cherry Hill, NJ 08002-1460

Ph: (732) 372-5963
Mrs Olaitan Adesola Eboda, PMHNP-BC
811 Church Rd Ste 219,
Cherry Hill, NJ 08002-1460

Ph: (732) 372-5963

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.

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