Adebukola Orisadare, in Southgate, MI - Medicare Nurse Practitioner

Adebukola Orisadare, is a medicare enrolled "Nurse Practitioner - Family" in Southgate, Michigan. Her current practice location is 13667 Eureka Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 530-6777.

Adebukola Orisadare is licensed to practice in Michigan (license number 4704317648) 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 1073004297.

Contact Information

	Adebukola Orisadare,
	13667 Eureka Rd, Southgate, MI 48195-1332
	(734) 530-6777
	(734) 468-1156

Map and Direction

Provider's Profile

Full Name	Adebukola Orisadare
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13667 Eureka Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073004297
Provider Enumeration Date: 05/23/2018
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5991114183
Enrollment ID: I20210428002448

Medical Identifiers

Medical identifiers for Adebukola Orisadare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073004297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704317648 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704317648 (Michigan)	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. Adebukola Orisadare allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Visiting Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023668944 PECOS PAC ID: 3375875164 Enrollment ID: O20191028002886

Entity Name	Longevity Clinical Ltc Associates Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154992196 PECOS PAC ID: 5395142442 Enrollment ID: O20210916001736

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. Adebukola Orisadare 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
Adebukola Orisadare, Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730	Adebukola Orisadare, 13667 Eureka Rd, Southgate, MI 48195-1332 Ph: (734) 530-6777

Reviews and Comments

Nurse Practitioner Nurses in Southgate, MI

Scott Anthony Blackburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15150 Fort St, Southgate, MI 48195 Phone: 734-282-4800 Fax: 734-282-9302
Margaret Diane Barden, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13667 Eureka Rd, Southgate, MI 48195 Phone: 734-530-6777 Fax: 734-468-1156
Michelle Lorraine Pardee, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-287-2076 Fax: 734-287-2731
Marie Elizabeth Manteuffel, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16258 Fort St, Southgate, MI 48195 Phone: 734-250-9062 Fax: 734-250-9072
Kaitlin Dughlas, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616
Mrs. Deborah Jane Collier-barstad, M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15255 Northline Rd, Southgate, MI 48195 Phone: 734-285-3090 Fax: 734-285-3095
Ms. Tina Adkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13346 Mark St, Southgate, MI 48195 Phone: 734-771-9232

Adebukola Orisadare, - Medicare Nurse Practitioner in Southgate, MI