Mary Odusanya, in Springfield, NJ - Medicare Nurse Practitioner

Mary Odusanya, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, New Jersey. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 454 Morris Ave, Springfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 312-0288.

Mary Odusanya is licensed to practice in New Jersey (license number 26NJ00735000) 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 1346770575.

Contact Information

	Mary Odusanya,
	454 Morris Ave, Springfield, NJ 07081-1158
	(908) 312-0288
	(908) 484-9447

Map and Direction

Provider's Profile

Full Name	Mary Odusanya
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	454 Morris Ave, Springfield, New Jersey
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:

Mary Odusanya graduated from nursing school in 2017

NPI Data:

NPI Number: 1346770575
Provider Enumeration Date: 06/20/2017
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8628349842
Enrollment ID: I20170807002755

Medical Identifiers

Medical identifiers for Mary Odusanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346770575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00735000 (New Jersey)	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. Mary Odusanya allows following entities to bill medicare on her behalf.

Entity Name	Montgomery Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366501462 PECOS PAC ID: 9638273816 Enrollment ID: O20070328000007

Entity Name	Your Neighborhood Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407424021 PECOS PAC ID: 4385047943 Enrollment ID: O20210721000122

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. Mary Odusanya 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
Mary Odusanya, 454 Morris Ave, Springfield, NJ 07081-1158 Ph: (908) 312-0288	Mary Odusanya, 454 Morris Ave, Springfield, NJ 07081-1158 Ph: (908) 312-0288

Reviews and Comments

Nurse Practitioner Nurses in Springfield, NJ

Lizbeth Aguirre, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 649 Morris Ave, Springfield, NJ 07081 Phone: 973-888-1085
Ngozi M Amaechi, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Neudove Health, 110 Hillside Avenue, Suite 200a., Springfield, NJ 07081 Phone: 862-368-1211
Mrs. Kimberly J Koval, RN, MSN, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Morris Ave, Springfield, NJ 07081 Phone: 973-379-2111 Fax: 973-379-2807
Kathleen K Escobia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Morris Ave, Springfield, NJ 07081 Phone: 973-379-2111 Fax: 973-379-2807
Funmilayo A Ogunruku, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Route 22 Ste 2, Springfield, NJ 07081 Phone: 609-892-1358
Geraldine Gabriel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Springfield Ave Apt 6031, Springfield, NJ 07081 Phone: 973-302-5290
Mrs. Jennifer Grande Chieppa, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Morris Ave, Springfield, NJ 07081 Phone: 733-792-1119 Fax: 973-379-2807

Mary Odusanya, - Medicare Nurse Practitioner in Springfield, NJ