Abidemi Balogun, PMHNP - Medicare Nurse Practitioner in Marshall, IL

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Abidemi Balogun, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marshall, Illinois. Her current practice location is 410 N 2nd St, Marshall, Illinois. You can reach out to her office (for appointments etc.) via phone at (718) 506-1115.

Abidemi Balogun is licensed to practice in Illinois (license number 209028750) 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 1205605235.

Contact Information

Abidemi Balogun, PMHNP
410 N 2nd St,
Marshall, IL 62441-1010
(718) 506-1115
Not Available

Map and Direction




Provider's Profile

Full NameAbidemi Balogun
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location410 N 2nd St, Marshall, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205605235
  • Provider Enumeration Date: 01/02/2024
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173975778
  • Enrollment ID: I20240119000372

Medical Identifiers

Medical identifiers for Abidemi Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205605235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028750 (Illinois)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. Abidemi Balogun allows following entities to bill medicare on her behalf.
Entity NameFabian Carbonell Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578767935
PECOS PAC ID: 7416980172
Enrollment ID: O20050913001117
Entity NameSupportive Care Of Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861199911
PECOS PAC ID: 7113392804
Enrollment ID: O20230411002061

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. Abidemi Balogun 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
Abidemi Balogun, PMHNP
1372 Fargo Ave Apt B,
Des Plaines, IL 60018-2991

Ph: () -		Abidemi Balogun, PMHNP
410 N 2nd St,
Marshall, IL 62441-1010

Ph: (718) 506-1115

Reviews and Comments


Nurse Practitioner Nurses in Marshall, IL

Mrs. Michaela Marie Miller, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 408 N 2nd St, Marshall, IL 62441
Phone: 217-826-2361    
Mrs. Andrea Lynn Warner, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 408 N 2nd St, Marshall, IL 62441
Phone: 217-826-2361    

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.