Agnes Olaolu Ezekiel, PMHNP-BC in Grants Pass, OR

Agnes Olaolu Ezekiel, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grants Pass, Oregon. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Options For Southern Oregon and her current practice location is 1545 Harbeck Rd, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-2373.

Agnes Olaolu Ezekiel is licensed to practice in Montana (license number 162006) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821620840.

Contact Information

	Agnes Olaolu Ezekiel, PMHNP-BC
	1545 Harbeck Rd, Grants Pass, OR 97527-5605
	(541) 476-2373
	Not Available

Map and Direction

Provider's Profile

Full Name	Agnes Olaolu Ezekiel
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1545 Harbeck Rd, Grants Pass, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Agnes Olaolu Ezekiel graduated from nursing school in 2019

NPI Data:

NPI Number: 1821620840
Provider Enumeration Date: 02/07/2020
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1052737194
Enrollment ID: I20240202000731

Medical Identifiers

Medical identifiers for Agnes Olaolu Ezekiel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821620840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	162006 (Montana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Three Rivers Medical Center	Grants pass, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Options For Southern Oregon	0941202006	45

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. Agnes Olaolu Ezekiel allows following entities to bill medicare on her behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

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. Agnes Olaolu Ezekiel 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
Agnes Olaolu Ezekiel, PMHNP-BC Po Box 1231, Havre, MT 59501-1231 Ph: (406) 262-1302	Agnes Olaolu Ezekiel, PMHNP-BC 1545 Harbeck Rd, Grants Pass, OR 97527-5605 Ph: (541) 476-2373

Reviews and Comments

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Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533
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Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638

Agnes Olaolu Ezekiel, PMHNP-BC - Medicare Nurse Practitioner in Grants Pass, OR