Bukola Oluwashola Kuti, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Woodbury, Minnesota. Her current practice location is
4265 Corn Silk Ln, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 230-1900.
Bukola Oluwashola Kuti is licensed to practice in Minnesota (license number 12493) 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 1811708100.
Healthcare Provider's Profile
Full Name | Bukola Oluwashola Kuti |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 4265 Corn Silk Ln, Woodbury, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811708100
- Provider Enumeration Date: 01/15/2025
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012431299
- Enrollment ID: I20250409001372
Medical Identifiers
Medical identifiers for Bukola Oluwashola Kuti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811708100 | NPI | - | NPPES |
1077716 | Other | TX | APRN-CNP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1077716 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12493 (Minnesota) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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. Bukola Oluwashola Kuti allows following entities to bill medicare on her behalf.
Entity Name | Zeitgeist Expressions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336150101 PECOS PAC ID: 1355578493 Enrollment ID: O20131216001135 |
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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. Bukola Oluwashola Kuti 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 |
Bukola Oluwashola Kuti, 4265 Corn Silk Ln, Woodbury, MN 55129-2213 Ph: (651) 230-1900 | Bukola Oluwashola Kuti, 4265 Corn Silk Ln, Woodbury, MN 55129-2213 Ph: (651) 230-1900 |
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