Mrs Adebola A Koko, FNP in Palm Desert, CA - Medicare Nurse Practitioner

Mrs Adebola A Koko, FNP is a medicare enrolled "Nurse Practitioner" in Palm Desert, California. Her current practice location is 43875 Washington St Ste C, Palm Desert, California. You can reach out to her office (for appointments etc.) via phone at (833) 935-6377.

Mrs Adebola A Koko is licensed to practice in California (license number 95016000) 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 1427652130.

Contact Information

	Mrs Adebola A Koko, FNP
	43875 Washington St Ste C, Palm Desert, CA 92211-8249
	(833) 935-6377
	(833) 935-6377

Map and Direction

Provider's Profile

Full Name	Mrs Adebola A Koko
Gender	Female
Speciality	Nurse Practitioner
Location	43875 Washington St Ste C, Palm Desert, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427652130
Provider Enumeration Date: 11/23/2020
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7315304250
Enrollment ID: I20230607002577

Medical Identifiers

Medical identifiers for Mrs Adebola A Koko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427652130	NPI	-	NPPES
95016000	Other	CA	NURSE PRACTITIONER LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95016000 (California)	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 Adebola A Koko allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Adebola A Koko 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
Mrs Adebola A Koko, FNP 23851 Albers St, Woodland Hills, CA 91367-5809 Ph: (833) 935-6377	Mrs Adebola A Koko, FNP 43875 Washington St Ste C, Palm Desert, CA 92211-8249 Ph: (833) 935-6377

Reviews and Comments

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Mrs Adebola A Koko, FNP - Medicare Nurse Practitioner in Palm Desert, CA