Mrs Oluwatoyin Clara Adisa, ACNP in Baltimore, MD

Mrs Oluwatoyin Clara Adisa, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Baltimore, Maryland. Her current practice location is 3425 Sinclair Ln, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 366-1151.

Mrs Oluwatoyin Clara Adisa is licensed to practice in Maryland (license number R142566) 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 1013156181.

Contact Information

	Mrs Oluwatoyin Clara Adisa, ACNP
	3425 Sinclair Ln, Baltimore, MD 21213-2030
	(410) 366-1151
	(410) 366-1151

Map and Direction

Provider's Profile

Full Name	Mrs Oluwatoyin Clara Adisa
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3425 Sinclair Ln, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013156181
Provider Enumeration Date: 02/13/2009
Last Update Date: 03/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0840326088
Enrollment ID: I20111103000407

Medical Identifiers

Medical identifiers for Mrs Oluwatoyin Clara Adisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013156181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024171618 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN68175 (District Of Columbia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R142566 (Maryland)	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 Oluwatoyin Clara Adisa allows following entities to bill medicare on her behalf.

Entity Name	Post Acute Physician Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710385554 PECOS PAC ID: 8224353891 Enrollment ID: O20150203001077

Entity Name	Therapeutic Living For Families Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265486740 PECOS PAC ID: 1658435375 Enrollment ID: O20150224001281

Entity Name	Lifebridge Primary Care Of North Carroll Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811398175 PECOS PAC ID: 2769709393 Enrollment ID: O20150319001691

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 Oluwatoyin Clara Adisa 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 Oluwatoyin Clara Adisa, ACNP 4534 Old Court Rd, Pikesville, MD 21208-2430 Ph: (443) 629-2282	Mrs Oluwatoyin Clara Adisa, ACNP 3425 Sinclair Ln, Baltimore, MD 21213-2030 Ph: (410) 366-1151

Reviews and Comments

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Mrs Oluwatoyin Clara Adisa, ACNP - Medicare Nurse Practitioner in Baltimore, MD