Bolatito Oyeronke Okougbo, NP - Medicare Nurse Practitioner in Avondale, AZ

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Bolatito Oyeronke Okougbo, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Avondale, Arizona. Her current practice location is 10926 W Ivory Ln, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 977-7644.

Bolatito Oyeronke Okougbo is licensed to practice in Arizona (license number 257217) 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 1063095503.

Contact Information

Bolatito Oyeronke Okougbo, NP
10926 W Ivory Ln,
Avondale, AZ 85392-4025
(623) 977-7644
Not Available

Map and Direction




Provider's Profile

Full NameBolatito Oyeronke Okougbo
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10926 W Ivory Ln, Avondale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063095503
  • Provider Enumeration Date: 05/03/2021
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496157364
  • Enrollment ID: I20210714003065

Medical Identifiers

Medical identifiers for Bolatito Oyeronke Okougbo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063095503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 257217 (Arizona)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. Bolatito Oyeronke Okougbo allows following entities to bill medicare on her behalf.
Entity NameCommunity Bridges Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558095315
PECOS PAC ID: 2062699721
Enrollment ID: O20110606000388
Entity NameLaxus Integrated Health Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972121218
PECOS PAC ID: 1254731607
Enrollment ID: O20210607002839
Entity NameMindflex Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841943040
PECOS PAC ID: 4789063264
Enrollment ID: O20220614002714

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. Bolatito Oyeronke Okougbo 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 AddressPractice Location Address
Bolatito Oyeronke Okougbo, NP
10926 W Ivory Ln,
Avondale, AZ 85392-4025

Ph: (623) 877-7644		Bolatito Oyeronke Okougbo, NP
10926 W Ivory Ln,
Avondale, AZ 85392-4025

Ph: (623) 977-7644

Reviews and Comments


Nurse Practitioner Nurses in Avondale, AZ

Mr. Justin Markel Belford, NP-C
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Practice Location: 3426 N 126th Dr, Avondale, AZ 85392
Phone: 623-695-4011    
Courtney Standifird,
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Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392
Phone: 623-935-1000    
Kia Lambeth,
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Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392
Phone: 623-936-3312    Fax: 623-936-4248
Amy Christine Amore,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392
Phone: 623-547-0522    
Mrs. Marytza Olivas-osuna, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392
Phone: 623-322-5900    
Joyce Akosua Bour, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392
Phone: 623-792-0209    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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