Mutiat Temitope Olawunmi, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rockaway Beach, New York. Her current practice location is
9218 Rockaway Beach Blvd, Rockaway Beach, New York. You can reach out to her office (for appointments etc.) via phone at
(281) 258-5344.
Mutiat Temitope Olawunmi is licensed to practice in New York (license number 404116) 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 1316604861.
Provider's Profile
| Full Name | Mutiat Temitope Olawunmi |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 9218 Rockaway Beach Blvd, Rockaway Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316604861
- Provider Enumeration Date: 11/18/2021
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062887060
- Enrollment ID: I20230405000204
Medical Identifiers
Medical identifiers for Mutiat Temitope Olawunmi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316604861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 68094 (New Mexico) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1060110 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202208555 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023833 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404116 (New York) | 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. Mutiat Temitope Olawunmi allows following entities to bill medicare on her behalf.
| Entity Name | State Of New Mexico |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992867998
PECOS PAC ID: 2062412869
Enrollment ID: O20091021000191 |
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| Entity Name | Lifeline Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265160451
PECOS PAC ID: 3678948577
Enrollment ID: O20231107001263 |
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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. Mutiat Temitope Olawunmi 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 |
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Mutiat Temitope Olawunmi, NP
18403 Austin Oak Ln,
Richmond, TX 77407-2277
Ph: (281) 258-5344 | Mutiat Temitope Olawunmi, NP
9218 Rockaway Beach Blvd,
Rockaway Beach, NY 11693-1527
Ph: (281) 258-5344 |
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