Mr Babatunde Adeosun, FNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Columbia City, Indiana. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Carle West Physician Group Inc and his current practice location is
1260 E State Road 205, Columbia City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(602) 489-0000.
Mr Babatunde Adeosun is licensed to practice in Illinois (license number 209.013330) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164892469.
Provider's Profile
Full Name | Mr Babatunde Adeosun |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 6 Years |
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Location | 1260 E State Road 205, Columbia City, Indiana |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Babatunde Adeosun graduated from nursing school in 2018
NPI Data:
- NPI Number: 1164892469
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 08/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658689898
- Enrollment ID: I20190507002610
Medical Identifiers
Medical identifiers for Mr Babatunde Adeosun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164892469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.013330 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.013330 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Carle West Physician Group Inc | 8921420308 | 283 |
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. Mr Babatunde Adeosun allows following entities to bill medicare on his behalf.
Entity Name | Swedish Covenant Management Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
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Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
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Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Mr Babatunde Adeosun 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 |
Mr Babatunde Adeosun, FNP 4218 S King Dr, Apt 1n, Chicago, IL 60653-3298 Ph: (773) 886-6894 | Mr Babatunde Adeosun, FNP 1260 E State Road 205, Columbia City, IN 46725-9492 Ph: (602) 489-0000 |
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