Adebukola Elizabeth Olusanya, NURSE PRACTITIONER in Ontario, CA

Adebukola Elizabeth Olusanya, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Ontario, California. Her current practice location is 2940 Inland Empire Blvd, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 458-1350.

Adebukola Elizabeth Olusanya is licensed to practice in California (license number 95017582) 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 1710441720.

Contact Information

	Adebukola Elizabeth Olusanya, NURSE PRACTITIONER
	2940 Inland Empire Blvd, Ontario, CA 91764-4898
	(909) 458-1350
	(909) 579-8149

Map and Direction

Provider's Profile

Full Name	Adebukola Elizabeth Olusanya
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2940 Inland Empire Blvd, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710441720
Provider Enumeration Date: 01/23/2019
Last Update Date: 09/29/2025

Medicare PECOS Information:

PECOS PAC ID: 1456730092
Enrollment ID: I20220628001255

Medical Identifiers

Medical identifiers for Adebukola Elizabeth Olusanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710441720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017582 (California)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	749486 (California)	Secondary

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. Adebukola Elizabeth Olusanya allows following entities to bill medicare on her behalf.

Entity Name	Exer Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153

Entity Name	Zenmedicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821567488 PECOS PAC ID: 3577800390 Enrollment ID: O20190131001969

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. Adebukola Elizabeth Olusanya 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
Adebukola Elizabeth Olusanya, NURSE PRACTITIONER 17965 Crabapple Ct, San Bernardino, CA 92407-0554 Ph: (909) 244-4313	Adebukola Elizabeth Olusanya, NURSE PRACTITIONER 2940 Inland Empire Blvd, Ontario, CA 91764-4898 Ph: (909) 458-1350

Reviews and Comments

Nurse Practitioner Nurses in Ontario, CA

Rachel Nuguid Taruc-carlos, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555
Hailey Yehee Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 S Clifton Ave Unit 93, Ontario, CA 91761 Phone: 909-367-5899
Araceli Berumen Gonzalez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 W D St, Ontario, CA 91762 Phone: 323-627-6398
Thuong Vu, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 833-574-2273
Colleen Sheehan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Centre Lake Dr Ste 512, Ontario, CA 91761 Phone: 909-566-0445
Chidinma Onuigbo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3110 E Guasti Rd Ste 315, Ontario, CA 91761 Phone: 909-981-1136
Marialuisa Garcia, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1151 E Walnut St, Ontario, CA 91761 Phone: 909-467-1425 Fax: 909-773-0266

Adebukola Elizabeth Olusanya, NURSE PRACTITIONER - Medicare Nurse Practitioner in Ontario, CA