Alimot Mayowa Odewale, CRNA in Stockbridge, GA - Medicare Nurse Anesthetist, Certified Registered

Alimot Mayowa Odewale, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockbridge, Georgia. Her current practice location is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 604-1053.

Alimot Mayowa Odewale is licensed to practice in Georgia (license number RN256250) 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 1740850833.

Contact Information

	Alimot Mayowa Odewale, CRNA
	1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085
	(678) 604-1053
	Not Available

Map and Direction

Provider's Profile

Full Name	Alimot Mayowa Odewale
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1133 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740850833
Provider Enumeration Date: 06/30/2021
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9931574431
Enrollment ID: I20230414002372

Medical Identifiers

Medical identifiers for Alimot Mayowa Odewale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740850833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95127163 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN256250 (Georgia)	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. Alimot Mayowa Odewale allows following entities to bill medicare on her behalf.

Entity Name	Coastal Ambulatory Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775

Entity Name	Gi Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283

Entity Name	Piedmont Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823

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. Alimot Mayowa Odewale 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
Alimot Mayowa Odewale, CRNA 401 Heron Ln, Martinez, CA 94553-4314 Ph: () -	Alimot Mayowa Odewale, CRNA 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (678) 604-1053

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stockbridge, GA

Jonathan Mitchell, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 Fax: 678-604-5548
Mr. Noah Brock Hatcher, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053
Keri Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053
Nicole Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053
Hyacinth D. Spence, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-389-2200 Fax: 770-237-1124
Andrew T Brackin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 Fax: 678-604-5548
Punam Patel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053

Alimot Mayowa Odewale, CRNA - Medicare Nurse Anesthetist, Certified Registered in Stockbridge, GA