Wosilat Abosede Soboyede, in Shakopee, MN - Medicare Nurse Practitioner

Wosilat Abosede Soboyede, is a medicare enrolled "Nurse Practitioner - Family" in Shakopee, Minnesota. Her current practice location is 3064 Asarum Ct, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 354-8544.

Wosilat Abosede Soboyede is licensed to practice in Minnesota (license number 6813) 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 1619511235.

Contact Information

	Wosilat Abosede Soboyede,
	3064 Asarum Ct, Shakopee, MN 55379-5408
	(651) 354-8544
	Not Available

Map and Direction

Provider's Profile

Full Name	Wosilat Abosede Soboyede
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3064 Asarum Ct, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619511235
Provider Enumeration Date: 11/06/2019
Last Update Date: 11/06/2019

Medicare PECOS Information:

PECOS PAC ID: 0143699603
Enrollment ID: I20221206001615

Medical Identifiers

Medical identifiers for Wosilat Abosede Soboyede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619511235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6813 (Minnesota)	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. Wosilat Abosede Soboyede allows following entities to bill medicare on her behalf.

Entity Name	Sama Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376906388 PECOS PAC ID: 0143500272 Enrollment ID: O20161207002031

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549

Entity Name	Twin Cities Quality Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346996634 PECOS PAC ID: 3173997236 Enrollment ID: O20230523002273

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. Wosilat Abosede Soboyede 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
Wosilat Abosede Soboyede, 3064 Asarum Ct, Shakopee, MN 55379-5408 Ph: (651) 354-8544	Wosilat Abosede Soboyede, 3064 Asarum Ct, Shakopee, MN 55379-5408 Ph: (651) 354-8544

Reviews and Comments

Nurse Practitioner Nurses in Shakopee, MN

Lauren Benolkin, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 Phone: 952-428-3535
Manisha Dharmesh Shah, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2008 Wilhelm Court, Shakopee, MN 55379 Phone: 952-457-4502
Mrs. Toni Rhonda Cam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 Dean Lakes Blvd, Shakopee, MN 55379 Phone: 866-389-2727
Couzue F Karbbar, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 Phone: 952-428-3600
Ms. Phoebe Nyabando, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 Princeton Ave, Shakopee, MN 55379 Phone: 612-940-5651
Leslie Walters, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 Phone: 952-428-3600 Fax: 952-428-3636
Sarah Lynn Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 Dean Lakes Blvd, Shakopee, MN 55379 Phone: 952-402-9039

Wosilat Abosede Soboyede, - Medicare Nurse Practitioner in Shakopee, MN