Mosunmola Arike Popoola, in Roanoke, VA - Medicare Nurse Practitioner

Mosunmola Arike Popoola, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roanoke, Virginia. Her current practice location is 3162 Williamson Rd Nw Apt 204, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (210) 701-3668.

Mosunmola Arike Popoola is licensed to practice in New Mexico (license number 70763) 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 1932819968.

Contact Information

	Mosunmola Arike Popoola,
	3162 Williamson Rd Nw Apt 204, Roanoke, VA 24012-4353
	(210) 701-3668
	Not Available

Map and Direction

Provider's Profile

Full Name	Mosunmola Arike Popoola
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3162 Williamson Rd Nw Apt 204, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932819968
Provider Enumeration Date: 11/30/2022
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3072984392
Enrollment ID: I20230125001268

Medical Identifiers

Medical identifiers for Mosunmola Arike Popoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932819968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0035566 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	70763 (New Mexico)	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. Mosunmola Arike Popoola allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Rehab Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20230227000278

Entity Name	Cura Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649984667 PECOS PAC ID: 5799143103 Enrollment ID: O20230616001109

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. Mosunmola Arike Popoola 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
Mosunmola Arike Popoola, 8501 Bay Mare Ave Sw, Albuquerque, NM 87121-5043 Ph: (107) 013-6682	Mosunmola Arike Popoola, 3162 Williamson Rd Nw Apt 204, Roanoke, VA 24012-4353 Ph: (210) 701-3668

Reviews and Comments

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Mosunmola Arike Popoola, - Medicare Nurse Practitioner in Roanoke, VA