Suliyat Idowu, in South Holland, IL - Medicare Nurse Practitioner

Suliyat Idowu, is a medicare enrolled "Nurse Practitioner - Family" in South Holland, Illinois. Her current practice location is 16413 Betty Ln, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 953-5356.

Suliyat Idowu is licensed to practice in Illinois (license number 209.018571) 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 1619531753.

Contact Information

	Suliyat Idowu,
	16413 Betty Ln, South Holland, IL 60473-2215
	(708) 953-5356
	Not Available

Map and Direction

Provider's Profile

Full Name	Suliyat Idowu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16413 Betty Ln, South Holland, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619531753
Provider Enumeration Date: 04/24/2019
Last Update Date: 04/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4082957626
Enrollment ID: I20190522000693

Medical Identifiers

Medical identifiers for Suliyat Idowu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619531753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.389857 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.018571 (Illinois)	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. Suliyat Idowu allows following entities to bill medicare on her behalf.

Entity Name	Jefferson Park Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366490047 PECOS PAC ID: 6204731474 Enrollment ID: O20031201000633

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. Suliyat Idowu 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
Suliyat Idowu, 16413 Betty Ln, South Holland, IL 60473-2215 Ph: (708) 953-5356	Suliyat Idowu, 16413 Betty Ln, South Holland, IL 60473-2215 Ph: (708) 953-5356

Reviews and Comments

Nurse Practitioner Nurses in South Holland, IL

Mrs. Kenisha Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16266 Prince Dr, South Holland, IL 60473 Phone: 708-222-7333 Fax: 708-221-0501
Sandra Karim, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16003 Louis Ave, South Holland, IL 60473 Phone: 312-218-5220
Mrs. Jennifer Norris Rosas, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202
Ms. Rebecca Cummings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200
Karen Fields, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16456 Dobson Ave, South Holland, IL 60473 Phone: 773-241-9300 Fax: 219-513-9446
Alexandra Mendez, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 685 E 154th Pl, South Holland, IL 60473 Phone: 773-407-5366
Tanesha N Turner, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625

Suliyat Idowu, - Medicare Nurse Practitioner in South Holland, IL