Miss Bolanle Kudiratu Adegoke, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Brooklyn, New York. Her current practice location is
493 Nostrand Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 230-1379.
Miss Bolanle Kudiratu Adegoke is licensed to practice in New York (license number F403746) 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 1952775611.
Provider's Profile
| Full Name | Miss Bolanle Kudiratu Adegoke |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 493 Nostrand Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952775611
- Provider Enumeration Date: 11/18/2015
- Last Update Date: 05/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911399886
- Enrollment ID: I20231201000178
Medical Identifiers
Medical identifiers for Miss Bolanle Kudiratu Adegoke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952775611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 701175-1 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F403746 (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. Miss Bolanle Kudiratu Adegoke allows following entities to bill medicare on her behalf.
| Entity Name | Interborough Developmental And Consultation Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588611842
PECOS PAC ID: 7911898192
Enrollment ID: O20040324001602 |
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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. Miss Bolanle Kudiratu Adegoke 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 |
|---|
Miss Bolanle Kudiratu Adegoke, PMHNP-BC
249 Thomas S Boyland St, Apt 23c,
Brooklyn, NY 11233-4156
Ph: (718) 415-3645 | Miss Bolanle Kudiratu Adegoke, PMHNP-BC
493 Nostrand Ave,
Brooklyn, NY 11216-5117
Ph: (718) 230-1379 |
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