Adedayo Temitope Omobo, CRNP-PMH in Owings Mills, MD

Adedayo Temitope Omobo, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Owings Mills, Maryland. His current practice location is 10999 Red Run Blvd Ste 205, Owings Mills, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 462-7690.

Adedayo Temitope Omobo is licensed to practice in Maryland (license number R174545) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003497215.

Contact Information

	Adedayo Temitope Omobo, CRNP-PMH
	10999 Red Run Blvd Ste 205, Owings Mills, MD 21117-3249
	(240) 462-7690
	Not Available

Map and Direction

Provider's Profile

Full Name	Adedayo Temitope Omobo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10999 Red Run Blvd Ste 205, Owings Mills, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003497215
Provider Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021

Medicare PECOS Information:

PECOS PAC ID: 6800185257
Enrollment ID: I20210902000465

Medical Identifiers

Medical identifiers for Adedayo Temitope Omobo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003497215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R174545 (Maryland)	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. Adedayo Temitope Omobo allows following entities to bill medicare on his behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532

Entity Name	Sound Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861082752 PECOS PAC ID: 8022487156 Enrollment ID: O20221213001691

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. Adedayo Temitope Omobo 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
Adedayo Temitope Omobo, CRNP-PMH 12906 Mayflower Pl, Bowie, MD 20720-3368 Ph: (240) 462-7690	Adedayo Temitope Omobo, CRNP-PMH 10999 Red Run Blvd Ste 205, Owings Mills, MD 21117-3249 Ph: (240) 462-7690

Reviews and Comments

Nurse Practitioner Nurses in Owings Mills, MD

Ernestina A. Ohene-agyakwah, CRNP-PMH BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1355, Owings Mills, MD 21117 Phone: 443-413-9942
Jennifer Pullmann, RN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117 Phone: 410-602-7792 Fax: 410-602-9889
Amanda Harner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Cir, Owings Mills, MD 21117 Phone: 443-352-4200
Samson Olanrewaju Arigbamu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10451 Mill Run Cir Ste 730, Owings Mills, MD 21117 Phone: 410-303-0057 Fax: 410-358-4938
Nkiru Nonso-ekweozoh, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117 Phone: 410-864-0211 Fax: 410-618-4163
Judith W. Ryan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117 Phone: 410-654-8602 Fax: 410-654-8709

Adedayo Temitope Omobo, CRNP-PMH - Medicare Nurse Practitioner in Owings Mills, MD