Osayuware Samuel-olagunju, LPC in Pompton Lakes, NJ

Osayuware Samuel-olagunju, LPC is a medicare enrolled "Counselor - Professional" provider in Pompton Lakes, New Jersey. Her current practice location is 16 Pompton Ave, Pompton Lakes, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 835-6337.

Osayuware Samuel-olagunju is licensed to practice in New Jersey (license number 37PC00588500) 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 1801206453.

Contact Information

	Osayuware Samuel-olagunju, LPC
	16 Pompton Ave, Pompton Lakes, NJ 07442-1895
	(973) 835-6337
	(973) 616-4688

Map and Direction

Healthcare Provider's Profile

Full Name	Osayuware Samuel-olagunju
Gender	Female
Speciality	Counselor - Professional
Location	16 Pompton Ave, Pompton Lakes, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801206453
Provider Enumeration Date: 05/05/2014
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9739619438
Enrollment ID: I20250211001525

Medical Identifiers

Medical identifiers for Osayuware Samuel-olagunju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801206453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37AC00189000 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	37PC00588500 (New Jersey)	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. Osayuware Samuel-olagunju allows following entities to bill medicare on her behalf.

Entity Name	Forge Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962175026 PECOS PAC ID: 5597163949 Enrollment ID: O20211015000010

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. Osayuware Samuel-olagunju 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
Osayuware Samuel-olagunju, LPC 16 Pompton Ave, Pompton Lakes, NJ 07442-1895 Ph: (973) 835-6337	Osayuware Samuel-olagunju, LPC 16 Pompton Ave, Pompton Lakes, NJ 07442-1895 Ph: (973) 835-6337

Reviews and Comments

Counselor in Pompton Lakes, NJ

Rosemarie Louise Gala, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Ave, Pompton Lakes, NJ 07442 Phone: 973-835-6337 Fax: 973-616-4688
Mr. Connor Christopher Vallee, L.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Ave, Pompton Lakes, NJ 07442 Phone: 973-835-6337
Ms. Leslie Karen Lobell, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Ave, Pathways Counseling Center, Pompton Lakes, NJ 07442 Phone: 973-694-1234
Joanne Ciriello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Avenue, Pompton Lakes, NJ 07442 Phone: 973-835-6337
Dr. Kevin Schafer, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Ave, Pompton Lakes, NJ 07442 Phone: 973-835-6337
Katherine Weber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250-258 Wanaque Ave, 2nd Floor, Pompton Lakes, NJ 07442 Phone: 862-244-3493
Ms. Carol Ann Broda, MED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Hamburg Turnpike, Pompton Lakes, NJ 07442 Phone: 973-831-0613 Fax: 973-831-0957

Osayuware Samuel-olagunju, LPC - Medicare Counselor in Pompton Lakes, NJ