Mrs Yewande Temitope Mikoku, NURSE PRACTITIONER in Staten Island, NY

Mrs Yewande Temitope Mikoku, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Staten Island, New York. Her current practice location is 27 Dixon Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 841-6757.

Mrs Yewande Temitope Mikoku is licensed to practice in New York (license number 403469) 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 1508079294.

Contact Information

	Mrs Yewande Temitope Mikoku, NURSE PRACTITIONER
	27 Dixon Ave, Staten Island, NY 10302-1938
	(917) 841-6757
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Yewande Temitope Mikoku
Gender	Female
Speciality	Nurse Practitioner
Location	27 Dixon Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508079294
Provider Enumeration Date: 05/08/2007
Last Update Date: 11/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4082066485
Enrollment ID: I20240122003336

Medical Identifiers

Medical identifiers for Mrs Yewande Temitope Mikoku such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508079294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	403469 (New York)	Primary
163W00000X	Registered Nurse	559805-1 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403469 (New York)	Secondary

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 Yewande Temitope Mikoku allows following entities to bill medicare on her behalf.

Entity Name	St Joseph's Hospital Yonkers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356316921 PECOS PAC ID: 0547156176 Enrollment ID: O20040223000340

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 Yewande Temitope Mikoku 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 Yewande Temitope Mikoku, NURSE PRACTITIONER 27 Dixon Ave, Staten Island, NY 10302-1938 Ph: (917) 841-6757	Mrs Yewande Temitope Mikoku, NURSE PRACTITIONER 27 Dixon Ave, Staten Island, NY 10302-1938 Ph: (917) 841-6757

Reviews and Comments

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Mrs Yewande Temitope Mikoku, NURSE PRACTITIONER - Medicare Nurse Practitioner in Staten Island, NY