Ibukun Odutola, in Prescott Valley, AZ - Medicare Nurse Practitioner

Ibukun Odutola, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Prescott Valley, Arizona. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Yavapai Guidance Clinic Inc and her current practice location is 3345 N Windsong Dr, Prescott Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 445-5211.

Ibukun Odutola is licensed to practice in Nevada (license number 810773) 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 1801404074.

Contact Information

	Ibukun Odutola,
	3345 N Windsong Dr, Prescott Valley, AZ 86314-2283
	(928) 445-5211
	Not Available

Map and Direction

Provider's Profile

Full Name	Ibukun Odutola
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3345 N Windsong Dr, Prescott Valley, Arizona
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:

Ibukun Odutola graduated from nursing school in 2016

NPI Data:

NPI Number: 1801404074
Provider Enumeration Date: 07/14/2020
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 3971929704
Enrollment ID: I20201203001816

Medical Identifiers

Medical identifiers for Ibukun Odutola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801404074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	810773 (Nevada)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	244759 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Yavapai Guidance Clinic Inc	3375524358	21

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. Ibukun Odutola allows following entities to bill medicare on her behalf.

Entity Name	West Yavapai Guidance Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952550071 PECOS PAC ID: 3375524358 Enrollment ID: O20040526000422

Entity Name	Victory Health Solution Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912515305 PECOS PAC ID: 7416369152 Enrollment ID: O20210413000569

Entity Name	I Am Wellness Az Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184354532 PECOS PAC ID: 8123497344 Enrollment ID: O20221211000016

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. Ibukun Odutola 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
Ibukun Odutola, 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 Ph: (928) 445-5211	Ibukun Odutola, 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 Ph: (928) 445-5211

Reviews and Comments

Nurse Practitioner Nurses in Prescott Valley, AZ

Mrs. Holly Ann Allred, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6386 E Ashton Pl, Prescott Valley, AZ 86314 Phone: 928-533-3971
Reneallia Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-350-8780 Fax: 888-674-1228
Cheryl Anne Wagner, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7600 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-772-1610
Whitney Nicole Rosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 928-442-8710 Fax: 928-442-8742
Laura Finkbeiner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 605-685-3995
Amy M Thein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-445-5211
Shelly Bethann Damschroder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6648 N Viewpoint Dr Ste 5, Prescott Valley, AZ 86315 Phone: 928-708-4800 Fax: 928-458-2123

Ibukun Odutola, - Medicare Nurse Practitioner in Prescott Valley, AZ