Emmanuel Oluwadare, - Medicare Nurse Practitioner in Phoenix, AZ

Emmanuel Oluwadare, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sanctuary Treatment Center Pllc and his current practice location is 15640 N 7th St Ste A1, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 858-0191.

Emmanuel Oluwadare is licensed to practice in Arizona (license number APRN-RNP257887) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902698277.

Contact Information

Emmanuel Oluwadare,
15640 N 7th St Ste A1,
Phoenix, AZ 85022-3520
(602) 858-0191
Not Available

Map and Direction




Provider's Profile

Full NameEmmanuel Oluwadare
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location15640 N 7th St Ste A1, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Emmanuel Oluwadare graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1902698277
  • Provider Enumeration Date: 05/21/2025
  • Last Update Date: 05/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153824768
  • Enrollment ID: I20250910003823

Medical Identifiers

Medical identifiers for Emmanuel Oluwadare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902698277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN-RNP257887 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanctuary Treatment Center Pllc54962986975

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. Emmanuel Oluwadare allows following entities to bill medicare on his behalf.
Entity NameSanctuary Treatment Center PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558087916
PECOS PAC ID: 5496298697
Enrollment ID: O20240617000939
Entity NameDare Behavioral Health and Wellness Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467341883
PECOS PAC ID: 6800392887
Enrollment ID: O20250929003870

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. Emmanuel Oluwadare 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 AddressPractice Location Address
Emmanuel Oluwadare,
5235 E Southern Ave Ste 106-145,
Mesa, AZ 85206-3626

Ph: (480) 501-0511
Emmanuel Oluwadare,
15640 N 7th St Ste A1,
Phoenix, AZ 85022-3520

Ph: (602) 858-0191

Reviews and Comments


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Phone: 480-680-6000    Fax: 480-306-5966
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Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050
Phone: 602-257-7673    Fax: 602-257-7344

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.