Modupe Fadojutimi, NURSE PRACTITIONER in La Plata, MD

Modupe Fadojutimi, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in La Plata, Maryland. Her current practice location is 1 Magnolia Dr, La Plata, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 934-4001.

Modupe Fadojutimi is licensed to practice in Maryland (license number R194540) 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 1952860660.

Contact Information

	Modupe Fadojutimi, NURSE PRACTITIONER
	1 Magnolia Dr, La Plata, MD 20646-9357
	(301) 934-4001
	Not Available

Map and Direction

Provider's Profile

Full Name	Modupe Fadojutimi
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1 Magnolia Dr, La Plata, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952860660
Provider Enumeration Date: 03/13/2019
Last Update Date: 03/13/2019

Medicare PECOS Information:

PECOS PAC ID: 3173942174
Enrollment ID: I20200924000965

Medical Identifiers

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

Identifier	Type	State	Issuer
1952860660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	R194540 (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. Modupe Fadojutimi allows following entities to bill medicare on her behalf.

Entity Name	Abode Care Partners Al Vb Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770808446 PECOS PAC ID: 1658403704 Enrollment ID: O20100726000055

Entity Name	Pa Post Acute Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240417004152

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 Fadojutimi 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 Fadojutimi, NURSE PRACTITIONER 1 Magnolia Dr, La Plata, MD 20646-9357 Ph: (301) 934-4001	Modupe Fadojutimi, NURSE PRACTITIONER 1 Magnolia Dr, La Plata, MD 20646-9357 Ph: (301) 934-4001

Reviews and Comments

Nurse Practitioner Nurses in La Plata, MD

Mrs. Natasha Chinakesha Decaires-chester, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4287
Adwoa Amponsah-poku, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 N La Plata Ct Ste 101, La Plata, MD 20646 Phone: 301-609-5044
Ashley Iannone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111
Gretchen Ann Machesney, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000
Jessica Lorraine Milton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115a La Grange Ave # A, La Plata, MD 20646 Phone: 301-392-1935
Dr. Paul Michael Patterson, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115a La Grange Ave, Suite 101, La Plata, MD 20646 Phone: 301-392-1935 Fax: 301-392-1936
Mrs. Bethany Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Howard St Ste 101, La Plata, MD 20646 Phone: 301-392-0400

Modupe Fadojutimi, NURSE PRACTITIONER - Medicare Nurse Practitioner in La Plata, MD