Olawale Nurudeen Moyosore, - Medicare in Prescott, AZ

Olawale Nurudeen Moyosore, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Prescott, Arizona. His current practice location is 500 Highway 89 North, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 445-4860.

Olawale Nurudeen Moyosore is licensed to practice in Arizona (license number 262277) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063087849.

Contact Information

Olawale Nurudeen Moyosore,
500 Highway 89 North,
Prescott, AZ 86313
(928) 445-4860
Not Available

Map and Direction




Provider's Profile

Full NameOlawale Nurudeen Moyosore
GenderMale
Speciality
Experience Years
Location500 Highway 89 North, Prescott, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olawale Nurudeen Moyosore attended and graduated from in
  NPI Data:
  • NPI Number: 1063087849
  • Provider Enumeration Date: 05/24/2021
  • Last Update Date: 01/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Olawale Nurudeen Moyosore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063087849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 262277 (Arizona)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP143491 (Texas)Secondary

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. Olawale Nurudeen Moyosore 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 AddressPractice Location Address
Olawale Nurudeen Moyosore,
181 Whipple St,
Prescott, AZ 86301-1705

Ph: (480) 719-6554
Olawale Nurudeen Moyosore,
500 Highway 89 North,
Prescott, AZ 86313

Ph: (928) 445-4860

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.