Olubukola Ajayi Obidi, NP in San Diego, CA - Medicare Nurse Practitioner

Olubukola Ajayi Obidi, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in San Diego, California. Her current practice location is 1075 Camino Del Rio S, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 881-4500.

Olubukola Ajayi Obidi is licensed to practice in California (license number RN 673401 NP 16839) 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 1194926469.

Contact Information

	Olubukola Ajayi Obidi, NP
	1075 Camino Del Rio S, San Diego, CA 92108-3538
	(619) 881-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Olubukola Ajayi Obidi
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1075 Camino Del Rio S, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194926469
Provider Enumeration Date: 05/31/2007
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9537407424
Enrollment ID: I20190219003487

Medical Identifiers

Medical identifiers for Olubukola Ajayi Obidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194926469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	ARNP 9257610 (Florida)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	RN 673401 NP 16839 (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. Olubukola Ajayi Obidi allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Olubukola Ajayi Obidi 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
Olubukola Ajayi Obidi, NP 1927 Padilla Dr, Colton, CA 92324-6611 Ph: (305) 926-9716	Olubukola Ajayi Obidi, NP 1075 Camino Del Rio S, San Diego, CA 92108-3538 Ph: (619) 881-4500

Reviews and Comments

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Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
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Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Olubukola Ajayi Obidi, NP - Medicare Nurse Practitioner in San Diego, CA