Mr Atilade A Owolabi, APRN, PMHNP-BC in Olympia, WA

Mr Atilade A Owolabi, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Olympia, Washington. His current practice location is 700 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 923-7000.

Mr Atilade A Owolabi is licensed to practice in Washington (license number AP61451208) 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 1629648266.

Contact Information

	Mr Atilade A Owolabi, APRN, PMHNP-BC
	700 Lilly Rd Ne, Olympia, WA 98506-5115
	(360) 923-7000
	(360) 923-7089

Map and Direction

Provider's Profile

Full Name	Mr Atilade A Owolabi
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	700 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629648266
Provider Enumeration Date: 06/27/2021
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 0042753204
Enrollment ID: I20240617002811

Medical Identifiers

Medical identifiers for Mr Atilade A Owolabi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629648266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61451208 (Washington)	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. Mr Atilade A Owolabi allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

Entity Name	Cascade Community Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824

Entity Name	Blu Orchard Therapy Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760217707 PECOS PAC ID: 0345778114 Enrollment ID: O20250107001478

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. Mr Atilade A Owolabi 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
Mr Atilade A Owolabi, APRN, PMHNP-BC 4570 Avery Ln Se # 9013, Lacey, WA 98503-5608 Ph: () -	Mr Atilade A Owolabi, APRN, PMHNP-BC 700 Lilly Rd Ne, Olympia, WA 98506-5115 Ph: (360) 923-7000

Reviews and Comments

Nurse Practitioner Nurses in Olympia, WA

Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143
Katelin Petrin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Michelle Jennings Hood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259
Kimberly E Riano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Limited Ln Nw, Olympia, WA 98502 Phone: 360-706-2763 Fax: 360-350-0735
Dara S Bernal, AP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3516 7th Ave Sw, Olympia, WA 98502 Phone: 360-489-2906
Madeleine Reed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne Ste B, Olympia, WA 98506 Phone: 604-138-2503

Mr Atilade A Owolabi, APRN, PMHNP-BC - Medicare Nurse Practitioner in Olympia, WA