Olusola Adekunle Obasa, FNP-BC in Middletown, CT

Olusola Adekunle Obasa, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Middletown, Connecticut. His current practice location is 675 Main Street, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 852-0853.

Olusola Adekunle Obasa is licensed to practice in Connecticut (license number 12.008303) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881247385.

Contact Information

	Olusola Adekunle Obasa, FNP-BC
	675 Main Street, Middletown, CT 06457
	(860) 852-0853
	Not Available

Map and Direction

Provider's Profile

Full Name	Olusola Adekunle Obasa
Gender	Male
Speciality	Nurse Practitioner - Family
Location	675 Main Street, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881247385
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 8022348762
Enrollment ID: I20230213000558

Medical Identifiers

Medical identifiers for Olusola Adekunle Obasa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881247385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12.008303 (Connecticut)	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. Olusola Adekunle Obasa allows following entities to bill medicare on his behalf.

Entity Name	Margaret Chustecka Internal Medicine Of Greater New Haven
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053344473 PECOS PAC ID: 3274557152 Enrollment ID: O20060118000578

Entity Name	August Primary Care Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144931452 PECOS PAC ID: 6204208671 Enrollment ID: O20230213000363

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. Olusola Adekunle Obasa 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
Olusola Adekunle Obasa, FNP-BC 675 Main Street, Middletown, CT 06457 Ph: () -	Olusola Adekunle Obasa, FNP-BC 675 Main Street, Middletown, CT 06457 Ph: (860) 852-0853

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486
Meredith Campbell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971

Olusola Adekunle Obasa, FNP-BC - Medicare Nurse Practitioner in Middletown, CT