David Olabanji Balogun, in Atlanta, GA - Medicare Nurse Practitioner

David Olabanji Balogun, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. His current practice location is 5650 Wisbech Way, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 397-7632.

David Olabanji Balogun is licensed to practice in Georgia (license number RN265381) 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 1790414936.

Contact Information

	David Olabanji Balogun,
	5650 Wisbech Way, Atlanta, GA 30349-2778
	(404) 397-7632
	Not Available

Map and Direction

Provider's Profile

Full Name	David Olabanji Balogun
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5650 Wisbech Way, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790414936
Provider Enumeration Date: 06/05/2022
Last Update Date: 06/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9234585431
Enrollment ID: I20231024003518

Medical Identifiers

Medical identifiers for David Olabanji Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790414936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN265381 (Georgia)	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. David Olabanji Balogun allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. David Olabanji Balogun 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
David Olabanji Balogun, 5650 Wisbech Way, Atlanta, GA 30349-2778 Ph: (404) 397-7632	David Olabanji Balogun, 5650 Wisbech Way, Atlanta, GA 30349-2778 Ph: (404) 397-7632

Reviews and Comments

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David Olabanji Balogun, - Medicare Nurse Practitioner in Atlanta, GA