Isoken Iyamu-osagie, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hartford, Connecticut. Her current practice location is
200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 545-7200.
Isoken Iyamu-osagie is licensed to practice in Connecticut (license number 009241) 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 1386089548.
Healthcare Provider's Profile
| Full Name | Isoken Iyamu-osagie |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 200 Retreat Avenue, Hartford, Connecticut |
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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: 1386089548
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 06/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800210295
- Enrollment ID: I20200717001581
Medical Identifiers
Medical identifiers for Isoken Iyamu-osagie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386089548 | NPI | - | NPPES |
| 1386089548 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 009241 (Connecticut) | 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. Isoken Iyamu-osagie allows following entities to bill medicare on her behalf.
| Entity Name | Hartford Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
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| Entity Name | Hartford Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
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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. Isoken Iyamu-osagie 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 |
Isoken Iyamu-osagie, LCSW 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 Ph: (860) 545-7200 | Isoken Iyamu-osagie, LCSW 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 Ph: (860) 545-7200 |
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