Rachel Adebukola O'dare, NP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Detroit, Michigan. Her current practice location is
3031 W Grand Blvd Ste 600, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(708) 299-2318.
Rachel Adebukola O'dare is licensed to practice in Michigan (license number 4351056818) 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 1073004297.
Provider's Profile
| Full Name | Rachel Adebukola O'dare |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 3031 W Grand Blvd Ste 600, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073004297
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 07/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991114183
- Enrollment ID: I20210428002448
Medical Identifiers
Medical identifiers for Rachel Adebukola O'dare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073004297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 4704317648 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 4704317648 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4351056818 (Michigan) | 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. Rachel Adebukola O'dare allows following entities to bill medicare on her behalf.
| Entity Name | Longevity Clinical Ltc Associates Of Michigan Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154992196 PECOS PAC ID: 5395142442 Enrollment ID: O20210916001736 |
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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. Rachel Adebukola O'dare 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 |
Rachel Adebukola O'dare, NP 43644 Arborview Ln, Van Buren Township, MI 48111-3347 Ph: (708) 299-2318 | Rachel Adebukola O'dare, NP 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 Ph: (708) 299-2318 |
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