Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP in Plymouth, MN

Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Plymouth, Minnesota. His current practice location is 9655 Schmidt Lake Rd Ste 150, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 559-1640.

Dr Titilope Olaoluwa Omisakin is licensed to practice in Minnesota (license number 10421) 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 1407536345.

Contact Information

	Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP
	9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507
	(763) 559-1640
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Titilope Olaoluwa Omisakin
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9655 Schmidt Lake Rd Ste 150, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407536345
Provider Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6901252857
Enrollment ID: I20231027003126

Medical Identifiers

Medical identifiers for Dr Titilope Olaoluwa Omisakin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407536345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10421 (Minnesota)	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. Dr Titilope Olaoluwa Omisakin allows following entities to bill medicare on his behalf.

Entity Name	Plymouth Psych Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728

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. Dr Titilope Olaoluwa Omisakin 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
Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP 1528 111th Dr Ne Unit D, Blaine, MN 55449-4887 Ph: (908) 374-8661	Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP 9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442-4507 Ph: (763) 559-1640

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MN

Jackie L Collins, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 105, Plymouth, MN 55441 Phone: 763-519-7440 Fax: 763-519-7445
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842
Sarah Irene Hare, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828
John M Rozman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256

Dr Titilope Olaoluwa Omisakin, DNP, APRN, CNP - Medicare Nurse Practitioner in Plymouth, MN