Tola E Bamidele, PA in Brooklyn, NY - Medicare Physician Assistant

Tola E Bamidele, PA is a medicare enrolled "Physician Assistant" in Brooklyn, New York. Her current practice location is 1465 Bedford Ave, Apt 1 R, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (347) 486-1839.

Tola E Bamidele is licensed to practice in Tennessee (license number ) 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 1841581147.

Contact Information

	Tola E Bamidele, PA
	1465 Bedford Ave, Apt 1 R, Brooklyn, NY 11216-3810
	(347) 486-1839
	Not Available

Map and Direction

Provider's Profile

Full Name	Tola E Bamidele
Gender	Female
Speciality	Physician Assistant
Location	1465 Bedford Ave, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841581147
Provider Enumeration Date: 04/21/2011
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9234594789
Enrollment ID: I20230505000591

Medical Identifiers

Medical identifiers for Tola E Bamidele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841581147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	304341 (New York)	Secondary
363A00000X	Physician Assistant	(Tennessee)	Primary

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. Tola E Bamidele 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
Tola E Bamidele, PA 1605 Bill Eller Dr., Lavern, TN 37086 Ph: (615) 295-4812	Tola E Bamidele, PA 1465 Bedford Ave, Apt 1 R, Brooklyn, NY 11216-3810 Ph: (347) 486-1839

Reviews and Comments

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Tola E Bamidele, PA - Medicare Physician Assistant in Brooklyn, NY