Mofoluwa Amiyan, in Richton Park, IL - Medicare Nurse Practitioner

Mofoluwa Amiyan, is a medicare enrolled "Nurse Practitioner" in Richton Park, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Uhs Of Hartgrove, Inc and her current practice location is 4512 Jefferson Dr, Richton Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 244-7449.

Mofoluwa Amiyan is licensed to practice in Illinois (license number 209011157) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558787960.

Contact Information

	Mofoluwa Amiyan,
	4512 Jefferson Dr, Richton Park, IL 60471-1852
	(708) 244-7449
	Not Available

Map and Direction

Provider's Profile

Full Name	Mofoluwa Amiyan
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	4512 Jefferson Dr, Richton Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mofoluwa Amiyan attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2012

NPI Data:

NPI Number: 1558787960
Provider Enumeration Date: 03/10/2014
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6103058565
Enrollment ID: I20140417000552

Medical Identifiers

Medical identifiers for Mofoluwa Amiyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558787960	NPI	-	NPPES
213401409214100	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209011157 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uhs Of Hartgrove, Inc	3173611738	13

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. Mofoluwa Amiyan allows following entities to bill medicare on her behalf.

Entity Name	Presence Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20040319001574

Entity Name	Uhs Of Hartgrove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396012951 PECOS PAC ID: 3173611738 Enrollment ID: O20120817000145

Entity Name	Elemental Center Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033410477 PECOS PAC ID: 6305149196 Enrollment ID: O20160128001830

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. Mofoluwa Amiyan 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
Mofoluwa Amiyan, 4512 Jefferson Dr, Richton Park, IL 60471-1852 Ph: (708) 244-7449	Mofoluwa Amiyan, 4512 Jefferson Dr, Richton Park, IL 60471-1852 Ph: (708) 244-7449

Reviews and Comments

Nurse Practitioner Nurses in Richton Park, IL

Mrs. Nwadiutor O Ifezue, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22621 Lakeshore Dr, Richton Park, IL 60471 Phone: 708-945-1712
Isaac Adeyemi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22858 Millard Ave, Richton Park, IL 60471 Phone: 773-759-1297
Rosalynn Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Cedar Ridge Ln Apt 102, Richton Park, IL 60471 Phone: 708-299-3056
Nicole Lovett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4511 Sauk Trl, Richton Park, IL 60471 Phone: 708-747-6000
Rosaline Richardson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4560 Windsor Ct, Richton Park, IL 60471 Phone: 708-314-1586
Denise Armenta Kelly, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22055 Sunset Dr, Richton Park, IL 60471 Phone: 708-925-6654

Mofoluwa Amiyan, - Medicare Nurse Practitioner in Richton Park, IL