Abimbola Datonye Iketubosin, FNP in Surprise, AZ

Abimbola Datonye Iketubosin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Surprise, Arizona. She graduated from nursing 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 Ajo Community Health Center, Ajo Community Health Center and her current practice location is 15351 W Bell Rd, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (877) 809-5092.

Abimbola Datonye Iketubosin is licensed to practice in California (license number 95011284) 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 1356841514.

Contact Information

	Abimbola Datonye Iketubosin, FNP
	15351 W Bell Rd, Surprise, AZ 85374-4580
	(877) 809-5092
	Not Available

Map and Direction

Provider's Profile

Full Name	Abimbola Datonye Iketubosin
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	15351 W Bell Rd, Surprise, Arizona
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:

Abimbola Datonye Iketubosin graduated from nursing school in 2020

NPI Data:

NPI Number: 1356841514
Provider Enumeration Date: 02/14/2018
Last Update Date: 05/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6709129554
Enrollment ID: I20200812001642

Medical Identifiers

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

Identifier	Type	State	Issuer
1356841514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	95011284 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	F08180855 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	95011284 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ajo Community Health Center	3476441866	13
Ajo Community Health Center	3476441866	13

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 Datonye Iketubosin allows following entities to bill medicare on her behalf.

Entity Name	Ajo Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114037496 PECOS PAC ID: 3476441866 Enrollment ID: O20040308000777

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 Datonye Iketubosin 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 Datonye Iketubosin, FNP 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 Ph: (623) 583-3001	Abimbola Datonye Iketubosin, FNP 15351 W Bell Rd, Surprise, AZ 85374-4580 Ph: (877) 809-5092

Reviews and Comments

Nurse Practitioner Nurses in Surprise, AZ

Celine Tubillara Villariz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-934-1245 Fax: 623-934-3598
Robert Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18761 N Reems Rd Ste 400, Surprise, AZ 85374 Phone: 623-583-9180
Herlinda C Castro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092
Zofia Wilk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13945 W Grand Ave Ste 105, Surprise, AZ 85374 Phone: 623-546-0007
Paige Leykam, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 211, Surprise, AZ 85374 Phone: 480-428-7678 Fax: 480-569-2708
Marisa Stapleton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17751 W Villa Chula Ln, Surprise, AZ 85387 Phone: 909-938-9527
Catherine Lisondra Krings, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915

Abimbola Datonye Iketubosin, FNP - Medicare Nurse Practitioner in Surprise, AZ