Olakunbi Opeyemi Dada, is a medicare enrolled "Nurse Practitioner - Family" physician in Aldie, Virginia. Her current practice location is
25438 Vacation Pl, Aldie, Virginia. You can reach out to her office (for appointments etc.) via phone at
(313) 268-8547.
Olakunbi Opeyemi Dada is licensed to practice in Virginia (license number 0024191705) 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 1770308215.
Physician's Profile
| Full Name | Olakunbi Opeyemi Dada |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 25438 Vacation Pl, Aldie, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770308215
- Provider Enumeration Date: 11/19/2024
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527598069
- Enrollment ID: I20250212002856
Medical Identifiers
Medical identifiers for Olakunbi Opeyemi Dada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770308215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0024191705 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024191705 (Virginia) | 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. Olakunbi Opeyemi Dada allows following entities to bill medicare on her behalf.
| Entity Name | Dr Arun K Gupta Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093997900
PECOS PAC ID: 5294714044
Enrollment ID: O20161004002841 |
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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. Olakunbi Opeyemi Dada 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 |
|---|
Olakunbi Opeyemi Dada,
9306 Forest Point Cir,
Manassas, VA 20110-4700
Ph: (703) 330-3332 | Olakunbi Opeyemi Dada,
25438 Vacation Pl,
Aldie, VA 20105-3417
Ph: (313) 268-8547 |
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