Adeleke O Omisande, in Fort Myers, FL - Medicare Nurse Practitioner

Adeleke O Omisande, is a medicare enrolled "Nurse Practitioner - Family" in Fort Myers, Florida. His current practice location is 9981 S Healthpark Dr, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 343-2052.

Adeleke O Omisande is licensed to practice in Florida (license number APRN11027473) 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 1962181768.

Contact Information

	Adeleke O Omisande,
	9981 S Healthpark Dr, Fort Myers, FL 33908-3618
	(239) 343-2052
	(239) 343-5348

Map and Direction

Provider's Profile

Full Name	Adeleke O Omisande
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9981 S Healthpark Dr, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962181768
Provider Enumeration Date: 07/18/2023
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8325497233
Enrollment ID: I20231218000244

Medical Identifiers

Medical identifiers for Adeleke O Omisande such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962181768	NPI	-	NPPES
120603800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11027473 (Florida)	Primary
363L00000X	Nurse Practitioner	APRN11027473 (Florida)	Secondary

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. Adeleke O Omisande allows following entities to bill medicare on his behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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. Adeleke O Omisande 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
Adeleke O Omisande, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-2052	Adeleke O Omisande, 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 Ph: (239) 343-2052

Reviews and Comments

Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794

Adeleke O Omisande, - Medicare Nurse Practitioner in Fort Myers, FL