Shola Adewunmi, PMHNP in Pasco, WA - Medicare Nurse Practitioner

Shola Adewunmi, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pasco, Washington. His current practice location is 6115 Burden Blvd Ste D, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 488-5256.

Shola Adewunmi is licensed to practice in Washington (license number AP61063594) 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 1073168449.

Contact Information

	Shola Adewunmi, PMHNP
	6115 Burden Blvd Ste D, Pasco, WA 99301-0010
	(509) 488-5256
	(509) 488-9939

Map and Direction

Provider's Profile

Full Name	Shola Adewunmi
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6115 Burden Blvd Ste D, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073168449
Provider Enumeration Date: 08/02/2019
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4082946074
Enrollment ID: I20191023003551

Medical Identifiers

Medical identifiers for Shola Adewunmi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073168449	NPI	-	NPPES
AP61063594	Other	WA	WA ST. DEPT. OF HEALTH
RN61063515	Other	WA	WA. ST. DEPT. OF HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC002778 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61063594 (Washington)	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. Shola Adewunmi allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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. Shola Adewunmi 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
Shola Adewunmi, PMHNP 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256	Shola Adewunmi, PMHNP 6115 Burden Blvd Ste D, Pasco, WA 99301-0010 Ph: (509) 488-5256

Reviews and Comments

Nurse Practitioner Nurses in Pasco, WA

Ms. Patricia Ann Hussey, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7425 Wrigley Drive Suite #206, Pasco, WA 99301 Phone: 509-546-8400
Jessica Meredith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9221 Sandifur Pkwy, Pasco, WA 99301 Phone: 509-233-7546
Rebekah Pierson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 531 W Park St Ste 2, Pasco, WA 99301 Phone: 509-547-4411 Fax: 509-547-3291
Nicole Marie Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 W Court St, Pasco, WA 99301 Phone: 866-904-7721
Stephanie Santos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280
Jacob Royal, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5015 Lucena Dr, Pasco, WA 99301 Phone: 509-380-7378

Shola Adewunmi, PMHNP - Medicare Nurse Practitioner in Pasco, WA