Omotayo Omosebi Abdul, PMHNP-BC - Medicare Nurse Practitioner in Jonesboro, GA

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Omotayo Omosebi Abdul, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jonesboro, Georgia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 7772 Thrailkill Rd, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 567-3262.

Omotayo Omosebi Abdul is licensed to practice in Georgia (license number 114603) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417623984.

Contact Information

Omotayo Omosebi Abdul, PMHNP-BC
7772 Thrailkill Rd,
Jonesboro, GA 30236-2459
(404) 567-3262
Not Available

Map and Direction




Physician's Profile

Full NameOmotayo Omosebi Abdul
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location7772 Thrailkill Rd, Jonesboro, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Omotayo Omosebi Abdul graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1417623984
  • Provider Enumeration Date: 08/17/2021
  • Last Update Date: 09/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749671477
  • Enrollment ID: I20220106001316

Medical Identifiers

Medical identifiers for Omotayo Omosebi Abdul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417623984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 114603 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 114603 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384251

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. Omotayo Omosebi Abdul allows following entities to bill medicare on her behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameOasis Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902427149
PECOS PAC ID: 8527484484
Enrollment ID: O20200821002965

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. Omotayo Omosebi Abdul 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 AddressPractice Location Address
Omotayo Omosebi Abdul, PMHNP-BC
7772 Thrailkill Rd,
Jonesboro, GA 30236-2459

Ph: (404) 567-3262		Omotayo Omosebi Abdul, PMHNP-BC
7772 Thrailkill Rd,
Jonesboro, GA 30236-2459

Ph: (404) 567-3262

Reviews and Comments



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.