Dr Fausat Funmilola Odubiyi, NURSE PRACTITIONER - Medicare Nurse Practitioner in Moorestown, NJ

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Dr Fausat Funmilola Odubiyi, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moorestown, New Jersey. Her current practice location is 1221 N Church St Ste 103-e, Moorestown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 471-3560.

Dr Fausat Funmilola Odubiyi is licensed to practice in New York (license number 402510) 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 1881174654.

Contact Information

Dr Fausat Funmilola Odubiyi, NURSE PRACTITIONER
1221 N Church St Ste 103-e,
Moorestown, NJ 08057-1245
(609) 471-3560
(833) 520-1488

Map and Direction




Provider's Profile

Full NameDr Fausat Funmilola Odubiyi
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1221 N Church St Ste 103-e, Moorestown, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881174654
  • Provider Enumeration Date: 08/21/2018
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749603496
  • Enrollment ID: I20200714000674

Medical Identifiers

Medical identifiers for Dr Fausat Funmilola Odubiyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881174654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NR22474600 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402510 (New York)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 Fausat Funmilola Odubiyi allows following entities to bill medicare on her behalf.
Entity NameBrooklyn Plaza Medical Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336113398
PECOS PAC ID: 7113961178
Enrollment ID: O20170503000192
Entity NameAble Healthcare Nurse Practitioner In Pshchiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902508385
PECOS PAC ID: 9335513696
Enrollment ID: O20230328001881

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 Fausat Funmilola Odubiyi 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 Fausat Funmilola Odubiyi, NURSE PRACTITIONER
1221 N Church St Ste 103-e,
Moorestown, NJ 08057-1245

Ph: (609) 471-3560		Dr Fausat Funmilola Odubiyi, NURSE PRACTITIONER
1221 N Church St Ste 103-e,
Moorestown, NJ 08057-1245

Ph: (609) 471-3560

Reviews and Comments


Nurse Practitioner Nurses in Moorestown, NJ

Juliet Lee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 Young Ave Ste 380a, Moorestown, NJ 08057
Phone: 856-291-8650    Fax: 856-291-8654
Daniel K. Stringer,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 W Route 38, Moorestown, NJ 08057
Phone: 856-270-4000    
Mrs. Dionne Desiree Bademosi, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 308 Nj- 38 E, Moorestown, NJ 08057
Phone: 856-722-9333    
Lynnsey Nicole Null, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 Young Ave Ste 325, Moorestown, NJ 08057
Phone: 856-291-8865    Fax: 856-291-8880
Shuang Hou,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 212 Marter Ave, Moorestown, NJ 08057
Phone: 856-291-4800    
Diana Sherpa,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 212 Marter Ave, Moorestown, NJ 08057
Phone: 856-291-4800    
Victoria Fisher,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 714 E Main St, Moorestown, NJ 08057
Phone: 609-245-6716    

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.