Olukemi Roseline Omogoke, MD in Severna Park, MD

Olukemi Roseline Omogoke, MD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Severna Park, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carroll Counseling Center, Llc and her current practice location is 650 Ritchie Hwy Ste 207, Severna Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 315-9350.

Olukemi Roseline Omogoke is licensed to practice in Maryland (license number R207593) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801365689.

Contact Information

	Olukemi Roseline Omogoke, MD
	650 Ritchie Hwy Ste 207, Severna Park, MD 21146-3935
	(410) 315-9350
	(410) 421-9135

Map and Direction

Provider's Profile

Full Name	Olukemi Roseline Omogoke
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	650 Ritchie Hwy Ste 207, Severna Park, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Olukemi Roseline Omogoke graduated from nursing school in 2018

NPI Data:

NPI Number: 1801365689
Provider Enumeration Date: 11/21/2018
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2365782729
Enrollment ID: I20190321000209

Medical Identifiers

Medical identifiers for Olukemi Roseline Omogoke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801365689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R207593 (Maryland)	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. Olukemi Roseline Omogoke allows following entities to bill medicare on her behalf.

Entity Name	Wisconsin Ave Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871549949 PECOS PAC ID: 5991791162 Enrollment ID: O20040422001139

Entity Name	Zenith Psychiatric & Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144941766 PECOS PAC ID: 9739559253 Enrollment ID: O20221228000090

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. Olukemi Roseline Omogoke 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
Olukemi Roseline Omogoke, MD 12804 Greenes Promise Ct, Bowie, MD 20720-5613 Ph: (301) 346-2201	Olukemi Roseline Omogoke, MD 650 Ritchie Hwy Ste 207, Severna Park, MD 21146-3935 Ph: (410) 315-9350

Reviews and Comments

Nurse Practitioner Nurses in Severna Park, MD

Erica Herdecker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Jumpers Hole Rd, Severna Park, MD 21146 Phone: 301-788-8506
Jean Jacklin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Ritchie Hwy, Suite 203, Severna Park, MD 21146 Phone: 410-897-2936 Fax: 410-793-5240
Danielle Mitsch, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146 Phone: 410-684-3806
Danielle Tanner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 579 Baltimore Annapolis Blvd, Severna Park, MD 21146 Phone: 410-975-5447
Meredith Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Ritchie Hwy Ste W19, Severna Park, MD 21146 Phone: 410-375-0444
Sarah Kuhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-721-2273
Daphne Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Jones Station Rd W, Severna Park, MD 21146 Phone: 410-647-0451

Olukemi Roseline Omogoke, MD - Medicare Nurse Practitioner in Severna Park, MD