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.
Physician's Profile
Full Name | Mrs Olaitan Adesola Eboda |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 811 Church Rd Ste 219, Cherry Hill, New Jersey |
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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: 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.
Identifier | Type | State | Issuer |
1114652138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 26NJ01343700 (New Jersey) | Secondary |
363LP0808X | Nurse 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 Name | Counseling Center At Clark Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848 |
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Entity Name | Rhapsody Healthcare System Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265150718 PECOS PAC ID: 4385029040 Enrollment ID: O20220915002556 |
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Entity Name | Counseling Center At Freehold Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013269216 PECOS PAC ID: 8820460363 Enrollment ID: O20230210000601 |
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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 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 Address | Practice 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 |
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