Dr Yekeen Adagbada Jr, - Medicare Nurse Practitioner in North Hollywood, CA

Dr Yekeen Adagbada Jr, is a medicare enrolled "Nurse Practitioner - Family" in North Hollywood, California. His current practice location is 11049 Magnolia Blvd Apt 302, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (773) 412-8828.

Dr Yekeen Adagbada Jr is licensed to practice in California (license number 95011775) 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 1003472309.

Contact Information

Dr Yekeen Adagbada Jr,
11049 Magnolia Blvd Apt 302,
North Hollywood, CA 91601-5654
(773) 412-8828
Not Available

Map and Direction




Provider's Profile

Full NameDr Yekeen Adagbada Jr
GenderMale
SpecialityNurse Practitioner - Family
Location11049 Magnolia Blvd Apt 302, North Hollywood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003472309
  • Provider Enumeration Date: 05/13/2019
  • Last Update Date: 05/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375872252
  • Enrollment ID: I20210111002605

Medical Identifiers

Medical identifiers for Dr Yekeen Adagbada Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003472309NPI-NPPES
95011775MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95011775 (California)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 Yekeen Adagbada Jr allows following entities to bill medicare on his behalf.
Entity NameSouthland Renal Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730110495
PECOS PAC ID: 3476580838
Enrollment ID: O20050718001019
Entity NameMolina Healthcare Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348

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 Yekeen Adagbada Jr 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
Dr Yekeen Adagbada Jr,
11049 Magnolia Blvd Apt 302,
North Hollywood, CA 91601-5654

Ph: (773) 412-8828
Dr Yekeen Adagbada Jr,
11049 Magnolia Blvd Apt 302,
North Hollywood, CA 91601-5654

Ph: (773) 412-8828

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.