Bukola Adegbola, in Winston Salem, NC - Medicare Nurse Practitioner

Bukola Adegbola, is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. Her current practice location is 1399 Ashleybrook Ln Ste 100, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 774-2194.

Bukola Adegbola is licensed to practice in North Carolina (license number 5018600) 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 1346928454.

Contact Information

	Bukola Adegbola,
	1399 Ashleybrook Ln Ste 100, Winston Salem, NC 27103-2961
	(336) 774-2194
	Not Available

Map and Direction

Provider's Profile

Full Name	Bukola Adegbola
Gender	Female
Speciality	Nurse Practitioner
Location	1399 Ashleybrook Ln Ste 100, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346928454
Provider Enumeration Date: 07/10/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6406202969
Enrollment ID: I20231019003457

Medical Identifiers

Medical identifiers for Bukola Adegbola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346928454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	2003225 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5018600 (North Carolina)	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. Bukola Adegbola allows following entities to bill medicare on her behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031230000300

Entity Name	Alamance Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326010273 PECOS PAC ID: 5294647145 Enrollment ID: O20040504000878

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. Bukola Adegbola 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
Bukola Adegbola, 152 Whitetail Deer Ln, Garner, NC 27529-7066 Ph: (919) 798-3988	Bukola Adegbola, 1399 Ashleybrook Ln Ste 100, Winston Salem, NC 27103-2961 Ph: (336) 774-2194

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Bukola Adegbola, - Medicare Nurse Practitioner in Winston Salem, NC