Aduragbemi Babajide Okiji, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harrogate, Tennessee. His current practice location is
6965 Cumberland Gap Pkwy, Harrogate, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 869-3611.
Aduragbemi Babajide Okiji is licensed to practice in District Of Columbia (license number CRNA1053877) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134875099.
Provider's Profile
Full Name | Aduragbemi Babajide Okiji |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 6965 Cumberland Gap Pkwy, Harrogate, Tennessee |
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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: 1134875099
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789028267
- Enrollment ID: I20240223001081
Medical Identifiers
Medical identifiers for Aduragbemi Babajide Okiji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134875099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | R248884 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1053877 (District Of Columbia) | 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. Aduragbemi Babajide Okiji allows following entities to bill medicare on his behalf.
Entity Name | Medstar Medical Group Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
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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. Aduragbemi Babajide Okiji 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 |
Aduragbemi Babajide Okiji, RN 203 Old Jacksboro Pike Apt C, Cumberland Gap, TN 37724-4497 Ph: (443) 518-6693 | Aduragbemi Babajide Okiji, RN 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (423) 869-3611 |
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