Kofo Abiru-adebambo, in Rosedale, MD - Medicare Nurse Practitioner

Kofo Abiru-adebambo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rosedale, Maryland. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 1232 Race Road, Ste 403, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 868-7101.

Kofo Abiru-adebambo is licensed to practice in Maryland (license number R182386) 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 1548924459.

Contact Information

	Kofo Abiru-adebambo,
	1232 Race Road, Ste 403, Rosedale, MD 21237-1483
	(443) 868-7101
	(443) 732-0054

Map and Direction

Provider's Profile

Full Name	Kofo Abiru-adebambo
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1232 Race Road, Rosedale, Maryland
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:

Kofo Abiru-adebambo graduated from nursing school in 2021

NPI Data:

NPI Number: 1548924459
Provider Enumeration Date: 10/26/2021
Last Update Date: 12/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537556725
Enrollment ID: I20220418000432

Medical Identifiers

Medical identifiers for Kofo Abiru-adebambo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548924459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R182386 (Maryland)	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. Kofo Abiru-adebambo allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372

Entity Name	Kolossal Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013448760 PECOS PAC ID: 7315306347 Enrollment ID: O20230707003273

Entity Name	Uncaged Potential Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225754831 PECOS PAC ID: 9537500194 Enrollment ID: O20240514000934

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. Kofo Abiru-adebambo 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
Kofo Abiru-adebambo, 822 Guilford Ave Unit 2010, Baltimore, MD 21202-3707 Ph: (408) 697-9392	Kofo Abiru-adebambo, 1232 Race Road, Ste 403, Rosedale, MD 21237-1483 Ph: (443) 868-7101

Reviews and Comments

Nurse Practitioner Nurses in Rosedale, MD

Hotenesia Njoroge, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Hallsdale Ct, Rosedale, MD 21237 Phone: 410-456-5812
Beauty Kevwe Nwamoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1232 Race Road, Ste 403, Rosedale, MD 21237 Phone: 443-868-7101 Fax: 443-732-0054
Emu Godspower Ohwobete, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Clementine Ct Apt 3b, Rosedale, MD 21237 Phone: 443-500-2458
Josephine Iredia Otasowie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Rustic Ave, Rosedale, MD 21237 Phone: 443-559-7075
Priscilla Benewaah, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8386 Old Philadelphia Rd, Rosedale, MD 21237 Phone: 410-499-4707
Anisha Hampton, FNP-C; PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9520 Philadelphia Rd, Rosedale, MD 21237 Phone: 443-703-3600
Mr. Ronald D Distler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Ridge Rd, Rosedale, MD 21237 Phone: 443-442-1568 Fax: 443-442-1569

Kofo Abiru-adebambo, - Medicare Nurse Practitioner in Rosedale, MD