Bukola Deborah Olusanya, in Los Angeles, CA - Medicare Nurse Practitioner

Bukola Deborah Olusanya, is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Johns Community Health and her current practice location is 808 W 58th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 541-1600.

Bukola Deborah Olusanya is licensed to practice in California (license number 95004381) 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 1598113441.

Contact Information

	Bukola Deborah Olusanya,
	808 W 58th St, Los Angeles, CA 90037-3632
	(323) 541-1600
	(323) 541-1499

Map and Direction

Provider's Profile

Full Name	Bukola Deborah Olusanya
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	808 W 58th St, Los Angeles, California
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:

Bukola Deborah Olusanya graduated from nursing school in 2015

NPI Data:

NPI Number: 1598113441
Provider Enumeration Date: 06/01/2016
Last Update Date: 09/06/2016

Medicare PECOS Information:

PECOS PAC ID: 9436434511
Enrollment ID: I20170403001418

Medical Identifiers

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

Identifier	Type	State	Issuer
1598113441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004381 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Johns Community Health	2961482690	90

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 Deborah Olusanya allows following entities to bill medicare on her behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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 Deborah Olusanya 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 Deborah Olusanya, 960 W 62nd Pl, Apt. 243, Los Angeles, CA 90044-5474 Ph: (323) 440-9196	Bukola Deborah Olusanya, 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600

Reviews and Comments

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Bukola Deborah Olusanya, - Medicare Nurse Practitioner in Los Angeles, CA