Yekeen Odewale, in Baltimore, MD - Medicare Nurse Practitioner

Yekeen Odewale, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. His current practice location is 5411 Old Frederick Rd Ste 7, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 762-8945.

Yekeen Odewale is licensed to practice in Maryland (license number R212715) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184175697.

Contact Information

	Yekeen Odewale,
	5411 Old Frederick Rd Ste 7, Baltimore, MD 21229
	(410) 762-8945
	Not Available

Map and Direction

Provider's Profile

Full Name	Yekeen Odewale
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5411 Old Frederick Rd Ste 7, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184175697
Provider Enumeration Date: 10/19/2016
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 1759640592
Enrollment ID: I20180124000717

Medical Identifiers

Medical identifiers for Yekeen Odewale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184175697	NPI	-	NPPES
117396100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	R212715 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R212715 (Maryland)	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. Yekeen Odewale allows following entities to bill medicare on his behalf.

Entity Name	Safe Harbor Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242

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. Yekeen Odewale 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
Yekeen Odewale, 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229-2126 Ph: (410) 762-8945	Yekeen Odewale, 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 Ph: (410) 762-8945

Reviews and Comments

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Yekeen Odewale, - Medicare Nurse Practitioner in Baltimore, MD