Adetutu Awodipe, NP in Columbia, MD - Medicare Nurse Practitioner

Adetutu Awodipe, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbia, Maryland. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightside Medical Pc, Capeside Psychiatry Pllc and her current practice location is 9861 Broken Land Pkwy Ste 100, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 399-4240.

Adetutu Awodipe is licensed to practice in Maryland (license number R194691) 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 1386157857.

Contact Information

	Adetutu Awodipe, NP
	9861 Broken Land Pkwy Ste 100, Columbia, MD 21046-3031
	(410) 399-4240
	Not Available

Map and Direction

Provider's Profile

Full Name	Adetutu Awodipe
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	9861 Broken Land Pkwy Ste 100, Columbia, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adetutu Awodipe graduated from nursing school in 2021

NPI Data:

NPI Number: 1386157857
Provider Enumeration Date: 11/07/2017
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8628326089
Enrollment ID: I20180802000101

Medical Identifiers

Medical identifiers for Adetutu Awodipe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386157857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R194691 (Maryland)	Primary
363LF0000X	Nurse Practitioner - Family	R194691 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024184544 (Virginia)	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. Adetutu Awodipe allows following entities to bill medicare on her behalf.

Entity Name	Revered-holistic Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700377876 PECOS PAC ID: 7719235175 Enrollment ID: O20180802000064

Entity Name	Salus Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230526001102

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. Adetutu Awodipe 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
Adetutu Awodipe, NP 4218 Summer Shade Way, Owings Mills, MD 21117-4872 Ph: (443) 621-2203	Adetutu Awodipe, NP 9861 Broken Land Pkwy Ste 100, Columbia, MD 21046-3031 Ph: (410) 399-4240

Reviews and Comments

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Adetutu Awodipe, NP - Medicare Nurse Practitioner in Columbia, MD