Omoniyi Tunde Modupe, DNP-CRNA in Philadelphia, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Omoniyi Tunde Modupe, DNP-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Temple Faculty Practice Plan Inc, Society Hill Anesthesia Consultants Pc, Rgal Anesthesia Services Llc and his current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-2000.

Omoniyi Tunde Modupe is licensed to practice in Pennsylvania (license number RN685335) 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 1942972690.

Contact Information

	Omoniyi Tunde Modupe, DNP-CRNA
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Omoniyi Tunde Modupe
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	3401 N Broad St, Philadelphia, Pennsylvania
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 Tunde Modupe attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2021

NPI Data:

NPI Number: 1942972690
Provider Enumeration Date: 10/01/2021
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0042608788
Enrollment ID: I20211028002053

Medical Identifiers

Medical identifiers for Omoniyi Tunde Modupe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942972690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN685335 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1060
Society Hill Anesthesia Consultants Pc	5991617292	192
Rgal Anesthesia Services Llc	7517130602	114

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 Tunde Modupe allows following entities to bill medicare on his behalf.

Entity Name	Society Hill Anesthesia Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358

Entity Name	North American Partners In Anesthesia, Pennsylvania , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040

Entity Name	Rgal Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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 Tunde Modupe 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 Tunde Modupe, DNP-CRNA 113 Colonels Pl, Collegeville, PA 19426-2070 Ph: (267) 495-9357	Omoniyi Tunde Modupe, DNP-CRNA 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310

Omoniyi Tunde Modupe, DNP-CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Philadelphia, PA