Funmilola Omolola Sijuade, PMHNP-BC in Mountlake Terrace, WA

Funmilola Omolola Sijuade, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mountlake Terrace, Washington. Her current practice location is 6505 216th St Sw Ste 100, Mountlake Terrace, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 640-7009.

Funmilola Omolola Sijuade is licensed to practice in Texas (license number AP133711) 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 1447787551.

Contact Information

	Funmilola Omolola Sijuade, PMHNP-BC
	6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043-2089
	(425) 640-7009
	(425) 640-7009

Map and Direction

Provider's Profile

Full Name	Funmilola Omolola Sijuade
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6505 216th St Sw Ste 100, Mountlake Terrace, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447787551
Provider Enumeration Date: 05/19/2017
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8123380995
Enrollment ID: I20180315001629

Medical Identifiers

Medical identifiers for Funmilola Omolola Sijuade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447787551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP133711 (Texas)	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. Funmilola Omolola Sijuade allows following entities to bill medicare on her behalf.

Entity Name	Central Texas Mental Health And Mental Retardation Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619196169 PECOS PAC ID: 5193613446 Enrollment ID: O20040311001487

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. Funmilola Omolola Sijuade 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
Funmilola Omolola Sijuade, PMHNP-BC 23515 Prato Gardens Ln, Katy, TX 77493-3242 Ph: (917) 499-2254	Funmilola Omolola Sijuade, PMHNP-BC 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043-2089 Ph: (425) 640-7009

Reviews and Comments

Nurse Practitioner Nurses in Mountlake Terrace, WA

Mr. Etienne Clement Poufong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 - Mountlake Terrace, Mountlake Terrace, WA 98043 Phone: 469-321-9543
Christina Lynn Gelder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 219th St Sw Ste 370, Mountlake Terrace, WA 98043 Phone: 888-777-1945 Fax: 805-413-9099
Van Ngoc Tran, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6007 244th St Sw Ste B, Mountlake Terrace, WA 98043 Phone: 425-640-4830
Allison Carole Cothern, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 205-955-0203
Dr. Iman M Yunis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 470-966-0299
Mr. Chad Lawrence Jacobs, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 317-695-8041
Adam D Barnett, DOCTOR OF NURSING PR Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 512-537-7308

Funmilola Omolola Sijuade, PMHNP-BC - Medicare Nurse Practitioner in Mountlake Terrace, WA