Bolanle Ahazie, PMHNP (APN) is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Port Reading, New Jersey. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forge Medical Group, Llc and her current practice location is
50 Henry St, Port Reading, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 896-1131.
Bolanle Ahazie is licensed to practice in New Jersey (license number 26NJ01106700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346831716.
Provider's Profile
| Full Name | Bolanle Ahazie |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 50 Henry St, Port Reading, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bolanle Ahazie graduated from nursing school in 2020
NPI Data:
- NPI Number: 1346831716
- Provider Enumeration Date: 01/28/2021
- Last Update Date: 01/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537636410
- Enrollment ID: I20260428003200
Medical Identifiers
Medical identifiers for Bolanle Ahazie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346831716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01106700 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Forge Medical Group, Llc | 5597163949 | 33 |
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. Bolanle Ahazie 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 |
Bolanle Ahazie, PMHNP (APN) 50 Henry St, Port Reading, NJ 07064-1016 Ph: (732) 896-1131 | Bolanle Ahazie, PMHNP (APN) 50 Henry St, Port Reading, NJ 07064-1016 Ph: (732) 896-1131 |
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