Adetimbo Adediran, CRNP - Medicare Nurse Practitioner in Owings Mills, MD

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Adetimbo Adediran, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Owings Mills, Maryland. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Axis Healthcare Group, Parker Psychiatric Services Incorporated and her current practice location is 9435 Paragon Ct, Owings Mills, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 722-9763.

Adetimbo Adediran is licensed to practice in Maryland (license number R194824) 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 1679922298.

Contact Information

Adetimbo Adediran, CRNP
9435 Paragon Ct,
Owings Mills, MD 21117-1408
(240) 722-9763
Not Available

Map and Direction




Provider's Profile

Full NameAdetimbo Adediran
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location9435 Paragon Ct, Owings Mills, Maryland
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:
  • Adetimbo Adediran graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1679922298
  • Provider Enumeration Date: 06/04/2016
  • Last Update Date: 03/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082902937
  • Enrollment ID: I20161011000913

Medical Identifiers

Medical identifiers for Adetimbo Adediran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679922298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R194854 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R194824 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Southern Maryland Hospital CenterClinton, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Axis Healthcare Group125440955076
Parker Psychiatric Services Incorporated71133228353

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. Adetimbo Adediran allows following entities to bill medicare on her behalf.
Entity NamePsychogeriatric Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20040127000803
Entity NameAxis Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326295098
PECOS PAC ID: 1254409550
Enrollment ID: O20081013000520
Entity NameInterdynamics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952570343
PECOS PAC ID: 2860670213
Enrollment ID: O20110707000233
Entity NameMdics Rehabilitative Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124313309
PECOS PAC ID: 4981861903
Enrollment ID: O20120202000749
Entity NameAlignmed Partners PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109452
PECOS PAC ID: 9739447400
Enrollment ID: O20180201000970

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. Adetimbo Adediran 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
Adetimbo Adediran, CRNP
9435 Paragon Ct,
Owings Mills, MD 21117-1408

Ph: (240) 722-9763		Adetimbo Adediran, CRNP
9435 Paragon Ct,
Owings Mills, MD 21117-1408

Ph: (240) 722-9763

Reviews and Comments


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Nkiru Nonso-ekweozoh, NURSE PRACTITIONER
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Practice Location: 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117
Phone: 410-864-0211    Fax: 410-618-4163
Judith W. Ryan, CRNP
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Practice Location: 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117
Phone: 410-654-8602    Fax: 410-654-8709

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.