Drucilla Adeniran, FNP in Tracy, CA - Medicare Nurse Practitioner

Drucilla Adeniran, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tracy, California. Her current practice location is 644 W 12th St, Tracy, California. You can reach out to her office (for appointments etc.) via phone at (209) 832-8984.

Drucilla Adeniran is licensed to practice in California (license number 95021366) 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 1356073381.

Contact Information

	Drucilla Adeniran, FNP
	644 W 12th St, Tracy, CA 95376-3437
	(209) 832-8984
	Not Available

Map and Direction

Provider's Profile

Full Name	Drucilla Adeniran
Gender	Female
Speciality	Nurse Practitioner - Family
Location	644 W 12th St, Tracy, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356073381
Provider Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 7719340124
Enrollment ID: I20230901001934

Medical Identifiers

Medical identifiers for Drucilla Adeniran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356073381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95021366 (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. Drucilla Adeniran allows following entities to bill medicare on her behalf.

Entity Name	Premier Urgent Care A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568522878 PECOS PAC ID: 6507893104 Enrollment ID: O20050726000411

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. Drucilla Adeniran 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
Drucilla Adeniran, FNP 1562 Egret Dr, Tracy, CA 95376-8317 Ph: (209) 814-6791	Drucilla Adeniran, FNP 644 W 12th St, Tracy, CA 95376-3437 Ph: (209) 832-8984

Reviews and Comments

Nurse Practitioner Nurses in Tracy, CA

Oke Umeugoji, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2172 Tennis Ln, Tracy, CA 95377 Phone: 510-750-6440
Elena Gallardo Costa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2185 W Grant Line Rd, Tracy, CA 95377 Phone: 209-839-3300
Victor Segura-perez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, S3cvo, Tracy, CA 95376 Phone: 855-398-1644 Fax: 855-398-8622
Catherine Ifeoma Chukwuma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 523 Banff Ct, Tracy, CA 95377 Phone: 925-918-2899
Rachel Maston, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-835-1500
Mr. Mark Rainier Nazareno, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Valencia Dr, Tracy, CA 95377 Phone: 562-283-9267
Mr. Jason A Pilkerton, NPC, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-832-6018

Drucilla Adeniran, FNP - Medicare Nurse Practitioner in Tracy, CA