Abimbola Shadare, in Upper Marlboro, MD - Medicare Nurse Practitioner

Abimbola Shadare, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 4312 Arabella Ct, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 593-2260.

Abimbola Shadare is licensed to practice in District Of Columbia (license number NP1042439) 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 1508559675.

Contact Information

	Abimbola Shadare,
	4312 Arabella Ct, Upper Marlboro, MD 20772-9343
	(240) 593-2260
	Not Available

Map and Direction

Provider's Profile

Full Name	Abimbola Shadare
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4312 Arabella Ct, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508559675
Provider Enumeration Date: 06/02/2023
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1254857576
Enrollment ID: I20250430000584

Medical Identifiers

Medical identifiers for Abimbola Shadare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508559675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP1042439 (District Of Columbia)	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. Abimbola Shadare allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20231030003317

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20240223002548

Entity Name	Integrahealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932968856 PECOS PAC ID: 3678911625 Enrollment ID: O20240503003481

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. Abimbola Shadare 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
Abimbola Shadare, 4312 Arabella Ct, Upper Marlboro, MD 20772-9343 Ph: () -	Abimbola Shadare, 4312 Arabella Ct, Upper Marlboro, MD 20772-9343 Ph: (240) 593-2260

Reviews and Comments

Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576
Keonie Morrisey, PMHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5014 Forest Pines Dr, Upper Marlboro, MD 20772 Phone: 240-428-9191
Mrs. Shonte Renee Drakeford, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6610 Woodyard Road, Upper Marlboro, MD 20772 Phone: 240-899-1950
Gladys Momoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10081 Campus Way S, Upper Marlboro, MD 20774 Phone: 202-704-2920
Kehinde Olatunji, CRNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774 Phone: 301-618-0079
Ogo Tunde-sanya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9520 Marlboro Pike Ste 201, Upper Marlboro, MD 20772 Phone: 301-957-7210 Fax: 301-604-0731
Frances Atuonah, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3912 Bishopmill Dr, Upper Marlboro, MD 20772 Phone: 202-710-6465

Abimbola Shadare, - Medicare Nurse Practitioner in Upper Marlboro, MD