Omotayo Omosebi Abdul, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jonesboro, Georgia. Her current practice location is
7772 Thrailkill Rd, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 567-3262.
Omotayo Omosebi Abdul is licensed to practice in Georgia (license number 114603) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417623984.
Physician's Profile
Full Name | Omotayo Omosebi Abdul |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 7772 Thrailkill Rd, Jonesboro, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Omotayo Omosebi Abdul attended and graduated from in
NPI Data:
- NPI Number: 1417623984
- Provider Enumeration Date: 08/17/2021
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Omotayo Omosebi Abdul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417623984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 114603 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 114603 (Georgia) | Primary |
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. Omotayo Omosebi Abdul 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 |
Omotayo Omosebi Abdul, PMHNP-BC 7772 Thrailkill Rd, Jonesboro, GA 30236-2459 Ph: (404) 567-3262 | Omotayo Omosebi Abdul, PMHNP-BC 7772 Thrailkill Rd, Jonesboro, GA 30236-2459 Ph: (404) 567-3262 |
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