Mr Babatunde Adeosun, FNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Columbia City, Indiana. His current practice location is
1260 E State Road 205, Columbia City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(602) 489-0000.
Mr Babatunde Adeosun is licensed to practice in Illinois (license number 209.013330) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164892469.
Provider's Profile
| Full Name | Mr Babatunde Adeosun |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1260 E State Road 205, Columbia City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164892469
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 08/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658689898
- Enrollment ID: I20190227002077
Medical Identifiers
Medical identifiers for Mr Babatunde Adeosun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164892469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.013330 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.013330 (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. Mr Babatunde Adeosun allows following entities to bill medicare on his behalf.
| Entity Name | Clinical Colleagues Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992725766
PECOS PAC ID: 8729011333
Enrollment ID: O20181101000420 |
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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. Mr Babatunde Adeosun 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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Mr Babatunde Adeosun, FNP
4218 S King Dr, Apt 1n,
Chicago, IL 60653-3298
Ph: (773) 886-6894 | Mr Babatunde Adeosun, FNP
1260 E State Road 205,
Columbia City, IN 46725-9492
Ph: (602) 489-0000 |
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