Modupeoluwa Mariam Odu-onikosi, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family" in Euless, Texas. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Polished Mind Psychiatry Pllc and her current practice location is
1401 Royal Pkwy Ste C, Euless, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 378-5577.
Modupeoluwa Mariam Odu-onikosi is licensed to practice in Texas (license number 1026808) 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 1689261513.
Provider's Profile
| Full Name | Modupeoluwa Mariam Odu-onikosi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1401 Royal Pkwy Ste C, Euless, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Modupeoluwa Mariam Odu-onikosi graduated from nursing school in 2020
NPI Data:
- NPI Number: 1689261513
- Provider Enumeration Date: 12/27/2020
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517346497
- Enrollment ID: I20220623001598
Medical Identifiers
Medical identifiers for Modupeoluwa Mariam Odu-onikosi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689261513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 880756 (Texas) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 1026808 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Polished Mind Psychiatry Pllc | 6709265689 | 2 |
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. Modupeoluwa Mariam Odu-onikosi allows following entities to bill medicare on her behalf.
| Entity Name | Polished Mind Psychiatry Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811626849
PECOS PAC ID: 6709265689
Enrollment ID: O20220623001448 |
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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. Modupeoluwa Mariam Odu-onikosi 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 |
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Modupeoluwa Mariam Odu-onikosi,
1401 Royal Pkwy Ste C,
Euless, TX 76040-6725
Ph: (214) 378-5577 | Modupeoluwa Mariam Odu-onikosi,
1401 Royal Pkwy Ste C,
Euless, TX 76040-6725
Ph: (214) 378-5577 |
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