Sherie O Ajayi, NP is a medicare enrolled "Nurse Practitioner" physician in Chicago, Illinois. Her current practice location is
4747 N Kedzie Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 666-3494.
Sherie O Ajayi is licensed to practice in California (license number 95025539) 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 1184290025.
Physician's Profile
| Full Name | Sherie O Ajayi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 4747 N Kedzie Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184290025
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688051592
- Enrollment ID: I20220516001013
Medical Identifiers
Medical identifiers for Sherie O Ajayi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184290025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 209 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F06210197 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1184290025 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 95025539 (California) | 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. Sherie O Ajayi allows following entities to bill medicare on her behalf.
| Entity Name | Esperanza Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124187125
PECOS PAC ID: 2961453105
Enrollment ID: O20050204000750 |
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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. Sherie O Ajayi 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 |
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Sherie O Ajayi, NP
4747 N Kedzie Ave,
Chicago, IL 60625-4420
Ph: () - | Sherie O Ajayi, NP
4747 N Kedzie Ave,
Chicago, IL 60625-4420
Ph: (312) 666-3494 |
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