Joshua Adetayo, NP in Frederick, MD - Medicare Nurse Practitioner

Joshua Adetayo, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Frederick, Maryland. His current practice location is 504 Carroll Walk Ave, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 473-6232.

Joshua Adetayo is licensed to practice in Maryland (license number R224016) 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 1982339560.

Contact Information

	Joshua Adetayo, NP
	504 Carroll Walk Ave, Frederick, MD 21701-6943
	(301) 473-6232
	(240) 667-7771

Map and Direction

Provider's Profile

Full Name	Joshua Adetayo
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	504 Carroll Walk Ave, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982339560
Provider Enumeration Date: 07/19/2022
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 4486037207
Enrollment ID: I20220811001601

Medical Identifiers

Medical identifiers for Joshua Adetayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982339560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R224016 (Maryland)	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. Joshua Adetayo allows following entities to bill medicare on his behalf.

Entity Name	Optimize Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20200115001092

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. Joshua Adetayo 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
Joshua Adetayo, NP 504 Carroll Walk Ave, Frederick, MD 21701-6943 Ph: (301) 473-6232	Joshua Adetayo, NP 504 Carroll Walk Ave, Frederick, MD 21701-6943 Ph: (301) 473-6232

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Joshua Adetayo, NP - Medicare Nurse Practitioner in Frederick, MD