Adesua Ilogienboh, RD in Newberg, OR - Medicare Dietitian, Registered Provider

Adesua Ilogienboh, RD is a medicare enrolled "Dietitian, Registered" provider in Newberg, Oregon. Her current practice location is 1001 N Providence Dr, Newberg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 537-1536.

Adesua Ilogienboh is licensed to practice in * (Not Available) (license number ) 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 1497408785.

Contact Information

	Adesua Ilogienboh, RD
	1001 N Providence Dr, Newberg, OR 97132-7485
	(503) 537-1536
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adesua Ilogienboh
Gender	Female
Speciality	Dietitian, Registered
Location	1001 N Providence Dr, Newberg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497408785
Provider Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9133569049
Enrollment ID: I20240425002023

Medical Identifiers

Medical identifiers for Adesua Ilogienboh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497408785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Adesua Ilogienboh allows following entities to bill medicare on her behalf.

Provider Name	Providence Health & Services Oregon
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

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. Adesua Ilogienboh 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
Adesua Ilogienboh, RD 1001 N Providence Dr, Newberg, OR 97132-7485 Ph: (503) 537-1536	Adesua Ilogienboh, RD 1001 N Providence Dr, Newberg, OR 97132-7485 Ph: (503) 537-1536

Reviews and Comments

Dietitian, Registered in Newberg, OR

Humlie Medical Nutrition Care Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W 8th St, Newberg, OR 97132 Phone: 503-883-1724 Fax: 855-966-4121
Jan Louise Hedengren, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 Providence Dr, Dietary Department, Newberg, OR 97132 Phone: 503-537-1536 Fax: 503-537-5616
Stephanie Barner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-1555
Andrew P Dagostino, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1900 E Fulton St, Newberg, OR 97132 Phone: 408-472-5976
Dr. Janet Peterson, DRPH, RDN, FACSM Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12925 Ne Faircrest Dr, Newberg, OR 97132 Phone: 503-547-5002
Janice Marie Montgomery, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 Esther St, Newberg, OR 97132 Phone: 503-554-4314 Fax: 503-537-7007

Adesua Ilogienboh, RD - Medicare Dietitian in Newberg, OR