Adetutu Owolabi, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Attleboro, Massachusetts. Her current practice location is
200 May St, South Attleboro, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 761-8500.
Adetutu Owolabi is licensed to practice in Massachusetts (license number RN2309251) 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 1164135570.
Provider's Profile
Full Name | Adetutu Owolabi |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 200 May St, South Attleboro, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164135570
- Provider Enumeration Date: 12/30/2022
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577920081
- Enrollment ID: I20230526001609
Medical Identifiers
Medical identifiers for Adetutu Owolabi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164135570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | RN2309251 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2309251 (Massachusetts) | 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. Adetutu Owolabi allows following entities to bill medicare on her behalf.
Entity Name | Hri Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518938174 PECOS PAC ID: 9032192851 Enrollment ID: O20040611000311 |
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Entity Name | Uhs Of Fuller Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316917222 PECOS PAC ID: 3274510003 Enrollment ID: O20040630000610 |
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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. Adetutu Owolabi 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 |
Adetutu Owolabi, CNP 59 Paragon Rd, West Roxbury, MA 02132-5127 Ph: (617) 755-1653 | Adetutu Owolabi, CNP 200 May St, South Attleboro, MA 02703-5520 Ph: (508) 761-8500 |
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