Olufunmilola Ogunmodede, RN in Pueblo, CO - Medicare Nurse Practitioner

Olufunmilola Ogunmodede, RN is a medicare enrolled "Nurse Practitioner" in Pueblo, Colorado. Her current practice location is 3937 Ivywood Ln, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 553-0111.

Olufunmilola Ogunmodede is licensed to practice in Colorado (license number APN.0999232) 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 1568521573.

Contact Information

	Olufunmilola Ogunmodede, RN
	3937 Ivywood Ln, Pueblo, CO 81005-2551
	(719) 553-0111
	(833) 918-2238

Map and Direction

Provider's Profile

Full Name	Olufunmilola Ogunmodede
Gender	Female
Speciality	Nurse Practitioner
Location	3937 Ivywood Ln, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568521573
Provider Enumeration Date: 12/06/2006
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7719135755
Enrollment ID: I20240117003374

Medical Identifiers

Medical identifiers for Olufunmilola Ogunmodede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568521573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN.0999232 (Colorado)	Primary
363LF0000X	Nurse Practitioner - Family	APN.0999232-NP (Colorado)	Secondary
163W00000X	Registered Nurse	111416 (Colorado)	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. Olufunmilola Ogunmodede allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Of Colorado Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023625662 PECOS PAC ID: 8527474899 Enrollment ID: O20210311000251

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. Olufunmilola Ogunmodede 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
Olufunmilola Ogunmodede, RN Po Box 9000, Pueblo, CO 81008-9000 Ph: (719) 553-0111	Olufunmilola Ogunmodede, RN 3937 Ivywood Ln, Pueblo, CO 81005-2551 Ph: (719) 553-0111

Reviews and Comments

Nurse Practitioner Nurses in Pueblo, CO

Paula Jiron-finn, ACNP/FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003 Phone: 719-543-8346 Fax: 719-545-1829
Brian C White, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003 Phone: 719-225-0637
Monica A Flynn, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Coral Breanne Martinez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003 Phone: 719-595-7680
Alexandria Brook Davis-mitchell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montebello Rd Ste 116, Pueblo, CO 81001 Phone: 719-423-1500
Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900

Olufunmilola Ogunmodede, RN - Medicare Nurse Practitioner in Pueblo, CO