Olubukunola Odeyemi, in Mount Laurel, NJ - Medicare Nurse Practitioner

Olubukunola Odeyemi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Laurel, New Jersey. Her current practice location is 13 Lavister Dr, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 865-2129.

Olubukunola Odeyemi is licensed to practice in New Jersey (license number 26NR15421100) 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 1528790060.

Contact Information

	Olubukunola Odeyemi,
	13 Lavister Dr, Mount Laurel, NJ 08054-2641
	(973) 865-2129
	Not Available

Map and Direction

Provider's Profile

Full Name	Olubukunola Odeyemi
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13 Lavister Dr, Mount Laurel, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528790060
Provider Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 2365896917
Enrollment ID: I20230929002665

Medical Identifiers

Medical identifiers for Olubukunola Odeyemi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528790060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NR15421100 (New Jersey)	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. Olubukunola Odeyemi allows following entities to bill medicare on her behalf.

Entity Name	State Of New Jersey Omb Centralized Payroll
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629155502 PECOS PAC ID: 6406742592 Enrollment ID: O20040225000797

Entity Name	St Remi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144583519 PECOS PAC ID: 0042456683 Enrollment ID: O20130426000191

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. Olubukunola Odeyemi 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
Olubukunola Odeyemi, 13 Lavister Dr, Mount Laurel, NJ 08054-2641 Ph: (973) 865-2129	Olubukunola Odeyemi, 13 Lavister Dr, Mount Laurel, NJ 08054-2641 Ph: (973) 865-2129

Reviews and Comments

Nurse Practitioner Nurses in Mount Laurel, NJ

Mrs. Dianna M Shinkarow, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054 Phone: 856-380-2400 Fax: 856-234-7870
Ms. Erin Lynn Mccormick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Fellowship Rd, Mount Laurel, NJ 08054 Phone: 856-642-2133
Mrs. Tieshau Middlebrooks, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Church St Ste 20, Mount Laurel, NJ 08054 Phone: 609-937-3491 Fax: 609-853-0221
Megan Canavan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3201 Marne Hwy, Mount Laurel, NJ 08054 Phone: 856-235-2147
Stephanie Ann Rogers, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054 Phone: 609-712-0796
Jacqueline Burns, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Route 38 Ste 11, Pmb 120, Mount Laurel, NJ 08054 Phone: 609-261-5755 Fax: 609-261-7199
Tracie Hawkins, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3906 Church Rd, Mount Laurel, NJ 08054 Phone: 856-266-5260

Olubukunola Odeyemi, - Medicare Nurse Practitioner in Mount Laurel, NJ