Modupe Adesola, in Fort Sill, OK - Medicare Nurse Practitioner

Modupe Adesola, is a medicare enrolled "Nurse Practitioner" in Fort Sill, Oklahoma. Her current practice location is 4301 Wilson St, Fort Sill, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 558-8242.

Modupe Adesola is licensed to practice in Kentucky (license number 3010425) 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 1184076770.

Contact Information

	Modupe Adesola,
	4301 Wilson St, Fort Sill, OK 73503-4472
	(580) 558-8242
	Not Available

Map and Direction

Provider's Profile

Full Name	Modupe Adesola
Gender	Female
Speciality	Nurse Practitioner
Location	4301 Wilson St, Fort Sill, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184076770
Provider Enumeration Date: 07/07/2016
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 7618262403
Enrollment ID: I20160817003019

Medical Identifiers

Medical identifiers for Modupe Adesola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184076770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3010425 (Kentucky)	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. Modupe Adesola allows following entities to bill medicare on her behalf.

Entity Name	Commonwealth Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114346467 PECOS PAC ID: 0840180816 Enrollment ID: O20040316000438

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. Modupe Adesola 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
Modupe Adesola, 1123 Abbeywood Rd, Louisville, KY 40222-4401 Ph: () -	Modupe Adesola, 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (580) 558-8242

Reviews and Comments

Nurse Practitioner Nurses in Fort Sill, OK

Brenda K Swain, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 Wilson St, Ent Clinic, Fort Sill, OK 73503 Phone: 580-558-2453 Fax: 580-558-2427
Mr. Christopher Morgan Lowe, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Wilson St., Hrc, Fort Sill, OK 73503 Phone: 580-558-8466
Wendolyn Renee Mccall, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2772
Shannon Lynn Gideon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-8453
Julia Lewis, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4303 Pitman St # 4303, Fort Sill, OK 73503 Phone: 580-585-5600
Kathleen Jean Shepard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2500

Modupe Adesola, - Medicare Nurse Practitioner in Fort Sill, OK