Adijat Omobolanle Ligali, in Valencia, CA - Medicare Nurse Practitioner

Adijat Omobolanle Ligali, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Valencia, California. Her current practice location is 25000 Avenue Stanford Ste 167, Valencia, California. You can reach out to her office (for appointments etc.) via phone at (818) 600-2034.

Adijat Omobolanle Ligali is licensed to practice in California (license number 95025305) 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 1124782115.

Contact Information

	Adijat Omobolanle Ligali,
	25000 Avenue Stanford Ste 167, Valencia, CA 91355-4596
	(818) 600-2034
	Not Available

Map and Direction

Provider's Profile

Full Name	Adijat Omobolanle Ligali
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	25000 Avenue Stanford Ste 167, Valencia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124782115
Provider Enumeration Date: 10/26/2021
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9739609546
Enrollment ID: I20250224003540

Medical Identifiers

Medical identifiers for Adijat Omobolanle Ligali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124782115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95186824 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95025305 (California)	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. Adijat Omobolanle Ligali allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Adijat Omobolanle Ligali 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
Adijat Omobolanle Ligali, 1111 6th Ave Ste 204, San Diego, CA 92101-5214 Ph: (415) 671-2165	Adijat Omobolanle Ligali, 25000 Avenue Stanford Ste 167, Valencia, CA 91355-4596 Ph: (818) 600-2034

Reviews and Comments

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Adijat Omobolanle Ligali, - Medicare Nurse Practitioner in Valencia, CA