Abimbola Etou, in Philadelphia, PA - Medicare Nurse Practitioner

Abimbola Etou, is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. Her current practice location is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 439-2500.

Abimbola Etou is licensed to practice in Pennsylvania (license number SP029118) 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 1366763310.

Contact Information

	Abimbola Etou,
	3400 Civic Center Blvd, Philadelphia, PA 19104-5127
	(215) 439-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	Abimbola Etou
Gender	Female
Speciality	Nurse Practitioner
Location	3400 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366763310
Provider Enumeration Date: 06/14/2010
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9234574377
Enrollment ID: I20240228004758

Medical Identifiers

Medical identifiers for Abimbola Etou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366763310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP029118 (Pennsylvania)	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. Abimbola Etou allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831443142 PECOS PAC ID: 6204730955 Enrollment ID: O20141120002493

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679677975 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000231

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. Abimbola Etou 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
Abimbola Etou, 6 Jones Dr, Garnet Valley, PA 19060-1214 Ph: (215) 439-2500	Abimbola Etou, 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 Ph: (215) 439-2500

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Abimbola Etou, - Medicare Nurse Practitioner in Philadelphia, PA