Mobolaji Rosanwo, DNP CRNP PHMNP-BC in Albany, NY

Mobolaji Rosanwo, DNP CRNP PHMNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albany, New York. Her current practice location is 418 Broadway Ste N, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (443) 858-1968.

Mobolaji Rosanwo is licensed to practice in Maryland (license number 223563) 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 1730753989.

Contact Information

	Mobolaji Rosanwo, DNP CRNP PHMNP-BC
	418 Broadway Ste N, Albany, NY 12207-2922
	(443) 858-1968
	Not Available

Map and Direction

Provider's Profile

Full Name	Mobolaji Rosanwo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	418 Broadway Ste N, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730753989
Provider Enumeration Date: 05/13/2021
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5395132088
Enrollment ID: I20220427002373

Medical Identifiers

Medical identifiers for Mobolaji Rosanwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730753989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	223563 (Maryland)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403963 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61358864 (Washington)	Secondary

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. Mobolaji Rosanwo allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279

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. Mobolaji Rosanwo 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
Mobolaji Rosanwo, DNP CRNP PHMNP-BC 418 Broadway Ste N, Albany, NY 12207-2922 Ph: (443) 858-1968	Mobolaji Rosanwo, DNP CRNP PHMNP-BC 418 Broadway Ste N, Albany, NY 12207-2922 Ph: (443) 858-1968

Reviews and Comments

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Mobolaji Rosanwo, DNP CRNP PHMNP-BC - Medicare Nurse Practitioner in Albany, NY