Mrs Dorothy Olere Okesola, FNP in Santa Clarita, CA

Mrs Dorothy Olere Okesola, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Santa Clarita, California. Her current practice location is 18333 Dolan Way Ste 206, Santa Clarita, California. You can reach out to her office (for appointments etc.) via phone at (661) 424-9590.

Mrs Dorothy Olere Okesola is licensed to practice in California (license number 95010385) 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 1063980084.

Contact Information

	Mrs Dorothy Olere Okesola, FNP
	18333 Dolan Way Ste 206, Santa Clarita, CA 91387
	(661) 424-9590
	(661) 424-9591

Map and Direction

Provider's Profile

Full Name	Mrs Dorothy Olere Okesola
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	18333 Dolan Way Ste 206, Santa Clarita, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063980084
Provider Enumeration Date: 11/07/2018
Last Update Date: 08/13/2019

Medicare PECOS Information:

PECOS PAC ID: 8123388634
Enrollment ID: I20190207000921

Medical Identifiers

Medical identifiers for Mrs Dorothy Olere Okesola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063980084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	549002 (California)	Secondary
163WH0200X	Registered Nurse - Home Health	771407 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95010385 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95010385 (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 Dorothy Olere Okesola allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

Entity Name	Derderyan Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457712309 PECOS PAC ID: 8325347396 Enrollment ID: O20160425002354

Entity Name	Care Connect Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134669971 PECOS PAC ID: 8628352747 Enrollment ID: O20170308001642

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 Dorothy Olere Okesola 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 Dorothy Olere Okesola, FNP 18333 Dolan Way Ste 206, Santa Clarita, CA 91387-5423 Ph: (661) 424-9590	Mrs Dorothy Olere Okesola, FNP 18333 Dolan Way Ste 206, Santa Clarita, CA 91387 Ph: (661) 424-9590

Reviews and Comments

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Mrs Dorothy Olere Okesola, FNP - Medicare Nurse Practitioner in Santa Clarita, CA