Modupe Desiree Bansile, - Counselor in Portland, OR

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Modupe Desiree Bansile, is a Peer Specialist based in Portland, Oregon. Modupe Desiree Bansile is licensed to practice in Oregon (license number THW2156) and her current practice location is 209 Sw Fourth Ave, Suite 520, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 556-9195.

NPI number for Modupe Desiree Bansile is 1790133031 and her current mailing address is 11073 Se Main St, Milwaukie, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790133031.

Contact Information

Modupe Desiree Bansile,
209 Sw Fourth Ave, Suite 520,
Portland, OR 97204
(541) 556-9195
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameModupe Desiree Bansile
GenderFemale
SpecialityPeer Specialist
Location209 Sw Fourth Ave, Suite 520, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790133031
  • Provider Enumeration Date: 05/26/2016
  • Last Update Date: 10/30/2018

Medical Identifiers

Medical identifiers for Modupe Desiree Bansile such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790133031NPI-NPPES
THW2156MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
175T00000XPeer Specialist THW2156 (Oregon)Primary

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. Modupe Desiree Bansile is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Modupe Desiree Bansile,
11073 Se Main St,
Milwaukie, OR 97222

Ph: (541) 556-9195		Modupe Desiree Bansile,
209 Sw Fourth Ave, Suite 520,
Portland, OR 97204

Ph: (541) 556-9195

Reviews and Comments


Peer Specialist in Portland, OR


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.