Adebowale Adeniji, NURSE PRACTITIONER in Oakland, CA

Adebowale Adeniji, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oakland, California. Her current practice location is 1404 Franklin St Ste Oakland, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (415) 535-3310.

Adebowale Adeniji is licensed to practice in California (license number 95003802) 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 1821405283.

Contact Information

	Adebowale Adeniji, NURSE PRACTITIONER
	1404 Franklin St Ste Oakland, Oakland, CA 94612-3210
	(415) 535-3310
	Not Available

Map and Direction

Provider's Profile

Full Name	Adebowale Adeniji
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1404 Franklin St Ste Oakland, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821405283
Provider Enumeration Date: 07/17/2014
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 5991113920
Enrollment ID: I20210412002767

Medical Identifiers

Medical identifiers for Adebowale Adeniji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821405283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	834153 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95003802 (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. Adebowale Adeniji allows following entities to bill medicare on her behalf.

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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. Adebowale Adeniji 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
Adebowale Adeniji, NURSE PRACTITIONER 1404 Franklin St Ste 200, Oakland, CA 94612-3208 Ph: (415) 535-3310	Adebowale Adeniji, NURSE PRACTITIONER 1404 Franklin St Ste Oakland, Oakland, CA 94612-3210 Ph: (415) 535-3310

Reviews and Comments

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Adebowale Adeniji, NURSE PRACTITIONER - Medicare Nurse Practitioner in Oakland, CA