Adedoyin Sobowale, PMHNP-BC in Baltimore, MD - Medicare Nurse Practitioner

Adedoyin Sobowale, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. Her current practice location is 5450 Reisterstown Rd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 893-5051.

Adedoyin Sobowale is licensed to practice in District Of Columbia (license number RN1014550) 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 1497364814.

Contact Information

	Adedoyin Sobowale, PMHNP-BC
	5450 Reisterstown Rd, Baltimore, MD 21215-4434
	(240) 893-5051
	Not Available

Map and Direction

Provider's Profile

Full Name	Adedoyin Sobowale
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5450 Reisterstown Rd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497364814
Provider Enumeration Date: 07/31/2020
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7214356500
Enrollment ID: I20201006002796

Medical Identifiers

Medical identifiers for Adedoyin Sobowale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497364814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN1014550 (District Of Columbia)	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. Adedoyin Sobowale allows following entities to bill medicare on her behalf.

Entity Name	Della Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750635207 PECOS PAC ID: 3971755000 Enrollment ID: O20141111000767

Entity Name	Ctg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376914481 PECOS PAC ID: 9830499227 Enrollment ID: O20151208002232

Entity Name	Assured Access Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720623242 PECOS PAC ID: 2163850702 Enrollment ID: O20200316000110

Entity Name	Amerihope Behavioral Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346027950 PECOS PAC ID: 4880048941 Enrollment ID: O20230925000657

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. Adedoyin Sobowale 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
Adedoyin Sobowale, PMHNP-BC 4512 Burkes Promise Dr, Bowie, MD 20720-4696 Ph: (240) 893-5051	Adedoyin Sobowale, PMHNP-BC 5450 Reisterstown Rd, Baltimore, MD 21215-4434 Ph: (240) 893-5051

Reviews and Comments

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Adedoyin Sobowale, PMHNP-BC - Medicare Nurse Practitioner in Baltimore, MD