Mrs Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER - Medicare Nurse Practitioner in Country Club Hills, IL

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Mrs Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Country Club Hills, Illinois. Her current practice location is 4363 Maple Ter, Country Club Hills, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 440-1368.

Mrs Abigail Ugoagha Ogunniyi is licensed to practice in Illinois (license number 277000463) 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 1235563537.

Contact Information

Mrs Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER
4363 Maple Ter,
Country Club Hills, IL 60478-5541
(773) 440-1368
Not Available

Map and Direction




Provider's Profile

Full NameMrs Abigail Ugoagha Ogunniyi
GenderFemale
SpecialityNurse Practitioner - Family
Location4363 Maple Ter, Country Club Hills, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235563537
  • Provider Enumeration Date: 08/22/2013
  • Last Update Date: 03/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557585353
  • Enrollment ID: I20140618000862

Medical Identifiers

Medical identifiers for Mrs Abigail Ugoagha Ogunniyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235563537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.010627 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277000463 (Illinois)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. Mrs Abigail Ugoagha Ogunniyi allows following entities to bill medicare on her behalf.
Entity NameParagon Clinical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20070515000051
Entity NameOptum Care Services Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912199415
PECOS PAC ID: 7214013721
Enrollment ID: O20131111000179

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. Mrs Abigail Ugoagha Ogunniyi 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
Mrs Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER
50 S B B King Blvd,
Memphis, TN 38103-2626

Ph: (866) 949-0108		Mrs Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER
4363 Maple Ter,
Country Club Hills, IL 60478-5541

Ph: (773) 440-1368

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.

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