Mrs Olasimbo Ifasewa Odutayo, in Fort Worth, TX

Mrs Olasimbo Ifasewa Odutayo, is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acclaim Physician Group Inc and her current practice location is 308 Autumn Park, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 552-3574.

Mrs Olasimbo Ifasewa Odutayo is licensed to practice in Texas (license number AP131147) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376994566.

Contact Information

	Mrs Olasimbo Ifasewa Odutayo,
	308 Autumn Park, Fort Worth, TX 76140-6524
	(682) 552-3574
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Olasimbo Ifasewa Odutayo
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	308 Autumn Park, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Olasimbo Ifasewa Odutayo graduated from nursing school in 2015

NPI Data:

NPI Number: 1376994566
Provider Enumeration Date: 06/29/2016
Last Update Date: 06/29/2016

Medicare PECOS Information:

PECOS PAC ID: 2567757495
Enrollment ID: I20160817000585

Medical Identifiers

Medical identifiers for Mrs Olasimbo Ifasewa Odutayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376994566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP131147 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acclaim Physician Group Inc	4587963582	442

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 Olasimbo Ifasewa Odutayo allows following entities to bill medicare on her behalf.

Entity Name	Home Visiting Doctors Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699076794 PECOS PAC ID: 7214195999 Enrollment ID: O20120227000584

Entity Name	American Visiting Doctors, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710268305 PECOS PAC ID: 5698922110 Enrollment ID: O20120905000589

Entity Name	Healthcare Liaison Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881943116 PECOS PAC ID: 8426294000 Enrollment ID: O20130426000642

Entity Name	Mark Lindemann Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487835914 PECOS PAC ID: 0840516662 Enrollment ID: O20150313000069

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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 Olasimbo Ifasewa Odutayo 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 Olasimbo Ifasewa Odutayo, 308 Autumn Park, Fort Worth, TX 76140-6524 Ph: (682) 552-3574	Mrs Olasimbo Ifasewa Odutayo, 308 Autumn Park, Fort Worth, TX 76140-6524 Ph: (682) 552-3574

Reviews and Comments

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Mrs Olasimbo Ifasewa Odutayo, - Medicare Nurse Practitioner in Fort Worth, TX