Mojisola R Balogun, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ

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Mojisola R Balogun, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. Her current practice location is 1326 W Hadley St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 218-8868.

Mojisola R Balogun is licensed to practice in Arizona (license number 265256) 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 1144567264.

Contact Information

Mojisola R Balogun, PMHNP
1326 W Hadley St,
Phoenix, AZ 85007-3612
(602) 218-8868
Not Available

Map and Direction




Provider's Profile

Full NameMojisola R Balogun
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1326 W Hadley St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144567264
  • Provider Enumeration Date: 01/09/2013
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012255904
  • Enrollment ID: I20200623000740

Medical Identifiers

Medical identifiers for Mojisola R Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144567264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 810386 (Nevada)Secondary
363LF0000XNurse Practitioner - Family 265256 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 810386 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 265256 (Arizona)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. Mojisola R Balogun allows following entities to bill medicare on her behalf.
Entity NameBehavioral Health Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548765258
PECOS PAC ID: 4385998954
Enrollment ID: O20181116002509
Entity NameMjb View Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487223236
PECOS PAC ID: 4587065479
Enrollment ID: O20210629003516
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20220125002065
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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. Mojisola R Balogun 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 AddressPractice Location Address
Mojisola R Balogun, PMHNP
9863 Vista Meadows Ave,
Las Vegas, NV 89148-5780

Ph: (702) 327-0308		Mojisola R Balogun, PMHNP
1326 W Hadley St,
Phoenix, AZ 85007-3612

Ph: (602) 218-8868

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.