Oluwademilade O Evbuomwan, FNP-BC in El Paso, TX

Oluwademilade O Evbuomwan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in El Paso, Texas. Her current practice location is 400 Shadow Mountain Dr, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at (915) 591-2704.

Oluwademilade O Evbuomwan is licensed to practice in South Carolina (license number 28177) 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 1730688151.

Contact Information

	Oluwademilade O Evbuomwan, FNP-BC
	400 Shadow Mountain Dr, El Paso, TX 79912-4030
	(915) 591-2704
	(915) 225-0413

Map and Direction

Provider's Profile

Full Name	Oluwademilade O Evbuomwan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 Shadow Mountain Dr, El Paso, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730688151
Provider Enumeration Date: 02/12/2018
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4082969373
Enrollment ID: I20240604004495

Medical Identifiers

Medical identifiers for Oluwademilade O Evbuomwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730688151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F12170042 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	28177 (South Carolina)	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. Oluwademilade O Evbuomwan allows following entities to bill medicare on her behalf.

Entity Name	Vitalen Inpatient Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083217616 PECOS PAC ID: 6901210418 Enrollment ID: O20210125001276

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. Oluwademilade O Evbuomwan 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
Oluwademilade O Evbuomwan, FNP-BC 1335 Geronimo Dr, El Paso, TX 79925-1836 Ph: (915) 591-2704	Oluwademilade O Evbuomwan, FNP-BC 400 Shadow Mountain Dr, El Paso, TX 79912-4030 Ph: (915) 591-2704

Reviews and Comments

Nurse Practitioner Nurses in El Paso, TX

Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13001 Easlake Blvd, Suite 105, El Paso, TX 79928 Phone: 915-248-2345 Fax: 915-271-4412
Miss Bianca Elena Montes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12501 Gateway Blvd S, El Paso, TX 79934 Phone: 915-834-4512
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000

Oluwademilade O Evbuomwan, FNP-BC - Medicare Nurse Practitioner in El Paso, TX