Omotunde Adeyemi, is a medicare enrolled "Nurse Practitioner - Family" physician in Raleigh, North Carolina. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advance Community Health Inc and her current practice location is
2529 Hunters Meadow Ln, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(513) 658-0761.
Omotunde Adeyemi is licensed to practice in North Carolina (license number 5014281) 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 1871180968.
Physician's Profile
Full Name | Omotunde Adeyemi |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 2529 Hunters Meadow Ln, Raleigh, North Carolina |
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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:
- Omotunde Adeyemi graduated from medical school in 2020
NPI Data:
- NPI Number: 1871180968
- Provider Enumeration Date: 12/23/2020
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698167765
- Enrollment ID: I20220121002381
Medical Identifiers
Medical identifiers for Omotunde Adeyemi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871180968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F08200047 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5014281 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advance Community Health Inc | 3577471697 | 25 |
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. Omotunde Adeyemi allows following entities to bill medicare on her behalf.
Entity Name | Advance Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245223783 PECOS PAC ID: 3577471697 Enrollment ID: O20040824000695 |
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Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
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Entity Name | Advance Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952760290 PECOS PAC ID: 3577471697 Enrollment ID: O20210119000168 |
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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. Omotunde Adeyemi 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 |
Omotunde Adeyemi, 2529 Hunters Meadow Ln, Raleigh, NC 27606-8488 Ph: (513) 658-0761 | Omotunde Adeyemi, 2529 Hunters Meadow Ln, Raleigh, NC 27606-8488 Ph: (513) 658-0761 |
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