Mariam Motunrayo Sangobanwo, FNP - Medicare Nurse Practitioner in Mount Prospect, IL

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Mariam Motunrayo Sangobanwo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Prospect, Illinois. Her current practice location is 718 E Northwest Hwy, Mount Prospect, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 755-1754.

Mariam Motunrayo Sangobanwo is licensed to practice in Illinois (license number 209025140) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013667898.

Contact Information

Mariam Motunrayo Sangobanwo, FNP
718 E Northwest Hwy,
Mount Prospect, IL 60056-3462
(630) 755-1754
Not Available

Map and Direction




Provider's Profile

Full NameMariam Motunrayo Sangobanwo
GenderFemale
SpecialityNurse Practitioner - Family
Location718 E Northwest Hwy, Mount Prospect, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013667898
  • Provider Enumeration Date: 03/25/2022
  • Last Update Date: 10/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204373996
  • Enrollment ID: I20240730003863

Medical Identifiers

Medical identifiers for Mariam Motunrayo Sangobanwo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013667898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041467719 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209025140 (Illinois)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. Mariam Motunrayo Sangobanwo allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855

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. Mariam Motunrayo Sangobanwo 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
Mariam Motunrayo Sangobanwo, FNP
500 W Rand Rd,
Arlington Heights, IL 60004-2360

Ph: (630) 755-1754		Mariam Motunrayo Sangobanwo, FNP
718 E Northwest Hwy,
Mount Prospect, IL 60056-3462

Ph: (630) 755-1754

Reviews and Comments


Nurse Practitioner Nurses in Mount Prospect, IL

Ms. Bindu Titus,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 350 W Kensington Rd, Ste 120, Mount Prospect, IL 60056
Phone: 847-222-9595    
Melissa M Mcgee, APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 931 Quince Ct, Mount Prospect, IL 60056
Phone: 734-658-6685    
John Yong Bae,
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Medicare: Medicare Enrolled
Practice Location: 1717 W Crystal Ln, Mount Prospect, IL 60056
Phone: 224-210-0122    
Jennifer Louise Mihailovic, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 640 E Northwest Hwy Ste 100, Mount Prospect, IL 60056
Phone: 847-942-1406    
Mohini Ghayal, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 W Kensington Rd Ste 102, Mount Prospect, IL 60056
Phone: 847-222-9060    
Mr. Rockie Vanga, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 W Central Rd Ste 204, Mount Prospect, IL 60056
Phone: 847-376-8144    
Resha Patel, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1660 Feehanville Dr Ste 200, Mount Prospect, IL 60056
Phone: 847-823-3185    Fax: 847-823-3318

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.