Omoniyi Fatai Mutiu, APRN in Duluth, GA - Medicare Nurse Practitioner

Omoniyi Fatai Mutiu, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Duluth, Georgia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Personal Recovery Network Llc and his current practice location is 2055 Sugarloaf Cir Ste 575, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 999-7971.

Omoniyi Fatai Mutiu is licensed to practice in Georgia (license number RN286020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396247359.

Contact Information

	Omoniyi Fatai Mutiu, APRN
	2055 Sugarloaf Cir Ste 575, Duluth, GA 30097-9804
	(404) 999-7971
	Not Available

Map and Direction

Provider's Profile

Full Name	Omoniyi Fatai Mutiu
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	2055 Sugarloaf Cir Ste 575, Duluth, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omoniyi Fatai Mutiu graduated from nursing school in 2016

NPI Data:

NPI Number: 1396247359
Provider Enumeration Date: 03/06/2018
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8022369776
Enrollment ID: I20200323002145

Medical Identifiers

Medical identifiers for Omoniyi Fatai Mutiu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396247359	NPI	-	NPPES
024364200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	ARNP9326452 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9326452 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN286020 (Georgia)	Primary
363LF0000X	Nurse Practitioner - Family	RN286020 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personal Recovery Network Llc	5092611384	334

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. Omoniyi Fatai Mutiu allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Omoniyi Fatai Mutiu 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
Omoniyi Fatai Mutiu, APRN 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 Ph: (954) 561-6222	Omoniyi Fatai Mutiu, APRN 2055 Sugarloaf Cir Ste 575, Duluth, GA 30097-9804 Ph: (404) 999-7971

Reviews and Comments

Nurse Practitioner Nurses in Duluth, GA

Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396
Dailan Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131
Lovelin Fonkika, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6650 Sugarloaf Pkwy Ste 800, Duluth, GA 30097 Phone: 404-921-3334
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640
Elisabeth Olsen Peterson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2660 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8330

Omoniyi Fatai Mutiu, APRN - Medicare Nurse Practitioner in Duluth, GA