Omobolanle M Adenuga, CRNP-F in Waldorf, MD - Medicare Nurse Practitioner

Omobolanle M Adenuga, CRNP-F is a medicare enrolled "Nurse Practitioner" in Waldorf, Maryland. Her current practice location is 11636 Port Royal Ave, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 755-1452.

Omobolanle M Adenuga is licensed to practice in Maryland (license number R214177) 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 1336796465.

Contact Information

	Omobolanle M Adenuga, CRNP-F
	11636 Port Royal Ave, Waldorf, MD 20602-5193
	(240) 755-1452
	Not Available

Map and Direction

Provider's Profile

Full Name	Omobolanle M Adenuga
Gender	Female
Speciality	Nurse Practitioner
Location	11636 Port Royal Ave, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336796465
Provider Enumeration Date: 08/22/2019
Last Update Date: 06/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6800225533
Enrollment ID: I20200401001874

Medical Identifiers

Medical identifiers for Omobolanle M Adenuga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336796465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R214177 (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. Omobolanle M Adenuga allows following entities to bill medicare on her behalf.

Entity Name	Nugahealth Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053959411 PECOS PAC ID: 5991134629 Enrollment ID: O20200401001820

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. Omobolanle M Adenuga 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
Omobolanle M Adenuga, CRNP-F 3565 Ellicott Mills Dr Ste B2, Ellicott City, MD 21043-4549 Ph: (443) 272-5506	Omobolanle M Adenuga, CRNP-F 11636 Port Royal Ave, Waldorf, MD 20602-5193 Ph: (240) 755-1452

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Trumpeter Ct, Waldorf, MD 20601 Phone: 240-353-2516
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Oluwatoyin Rachael Adelakun, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10612 Cheryl Turn, Waldorf, MD 20603 Phone: 301-377-4325
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556
Ms. Cecelia Ann Gramsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3581 Old Washington Rd, Suite F, Waldorf, MD 20602 Phone: 301-638-4400 Fax: 301-638-2200

Omobolanle M Adenuga, CRNP-F - Medicare Nurse Practitioner in Waldorf, MD