Aduragbemi Babajide Okiji, RN in Harrogate, TN - Medicare Nurse Anesthetist, Certified Registered

Aduragbemi Babajide Okiji, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harrogate, Tennessee. His current practice location is 6965 Cumberland Gap Pkwy, Harrogate, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 869-3611.

Aduragbemi Babajide Okiji is licensed to practice in District Of Columbia (license number CRNA1053877) 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 1134875099.

Contact Information

	Aduragbemi Babajide Okiji, RN
	6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245
	(423) 869-3611
	Not Available

Map and Direction

Provider's Profile

Full Name	Aduragbemi Babajide Okiji
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	6965 Cumberland Gap Pkwy, Harrogate, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134875099
Provider Enumeration Date: 03/01/2022
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4789028267
Enrollment ID: I20240223001081

Medical Identifiers

Medical identifiers for Aduragbemi Babajide Okiji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134875099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	R248884 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA1053877 (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. Aduragbemi Babajide Okiji allows following entities to bill medicare on his behalf.

Entity Name	Medstar Medical Group Anesthesiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837

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. Aduragbemi Babajide Okiji 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
Aduragbemi Babajide Okiji, RN 203 Old Jacksboro Pike Apt C, Cumberland Gap, TN 37724-4497 Ph: (443) 518-6693	Aduragbemi Babajide Okiji, RN 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (423) 869-3611

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Harrogate, TN

Alec Wiscombe, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611
Aneesa Ennab, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-6324
Joshua O Leatherwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-309-0746
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611

Aduragbemi Babajide Okiji, RN - Medicare Nurse Anesthetist, Certified Registered in Harrogate, TN