Adeyemi Christanah Adeniyi, A-GNP in Roxbury, MA

Adeyemi Christanah Adeniyi, A-GNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Roxbury, Massachusetts. Her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Adeyemi Christanah Adeniyi is licensed to practice in Massachusetts (license number RN2310738) 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 1780238659.

Contact Information

	Adeyemi Christanah Adeniyi, A-GNP
	45 Dimock St, Roxbury, MA 02119-1208
	(617) 442-8800
	(617) 541-8472

Map and Direction

Provider's Profile

Full Name	Adeyemi Christanah Adeniyi
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	45 Dimock St, Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780238659
Provider Enumeration Date: 07/30/2019
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6800296153
Enrollment ID: I20220907000773

Medical Identifiers

Medical identifiers for Adeyemi Christanah Adeniyi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780238659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AG07190264 (Massachusetts)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN2310738 (Massachusetts)	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. Adeyemi Christanah Adeniyi allows following entities to bill medicare on her behalf.

Entity Name	Dimock Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

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. Adeyemi Christanah Adeniyi 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
Adeyemi Christanah Adeniyi, A-GNP 18 W Blackwell St, Dover, NJ 07801-3841 Ph: (973) 328-3344	Adeyemi Christanah Adeniyi, A-GNP 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800

Reviews and Comments

Nurse Practitioner Nurses in Roxbury, MA

Jasmine F Haque-ahmed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000
Sandra Mccurbin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 Phone: 617-534-9509 Fax: 617-534-9948
Semere Tekie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Munroe St, Unit 2, Roxbury, MA 02119 Phone: 617-959-7911
Fadzai Semwayo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000
Miss Claudia Isabel Marquez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472
Eddie M Namugerwa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674
Julia Deaver Arnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Malcolm X Blvd, Roxbury, MA 02120 Phone: 617-534-9951

Adeyemi Christanah Adeniyi, A-GNP - Medicare Nurse Practitioner in Roxbury, MA