Mr Bayo Babatunde Agbolade, PMHNP-BC in Crestwood, IL

Mr Bayo Babatunde Agbolade, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crestwood, Illinois. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Edgewood Clinical Services P.c. and his current practice location is 4711 Midlothian Tpke Ste 14, Crestwood, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 910-8196.

Mr Bayo Babatunde Agbolade is licensed to practice in Illinois (license number 277004414) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780198192.

Contact Information

	Mr Bayo Babatunde Agbolade, PMHNP-BC
	4711 Midlothian Tpke Ste 14, Crestwood, IL 60418-4903
	(779) 910-8196
	(708) 963-0105

Map and Direction

Provider's Profile

Full Name	Mr Bayo Babatunde Agbolade
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	4711 Midlothian Tpke Ste 14, Crestwood, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Bayo Babatunde Agbolade graduated from nursing school in 2021

NPI Data:

NPI Number: 1780198192
Provider Enumeration Date: 11/21/2017
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 4688035959
Enrollment ID: I20230802003697

Medical Identifiers

Medical identifiers for Mr Bayo Babatunde Agbolade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780198192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	277004414 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgewood Clinical Services P.c.	3971963901	190

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 Bayo Babatunde Agbolade allows following entities to bill medicare on his behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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 Bayo Babatunde Agbolade 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
Mr Bayo Babatunde Agbolade, PMHNP-BC 4711 Midlothian Tpke Ste 14, Crestwood, IL 60418-4903 Ph: (708) 743-2714	Mr Bayo Babatunde Agbolade, PMHNP-BC 4711 Midlothian Tpke Ste 14, Crestwood, IL 60418-4903 Ph: (779) 910-8196

Reviews and Comments

Nurse Practitioner Nurses in Crestwood, IL

Dr. Christina J Wagener, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5419 135th St, Crestwood, IL 60418 Phone: 708-358-7300
Jacqueline Sielaff, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4736 Cal Sag Rd Ste A, Crestwood, IL 60418 Phone: 708-390-7001
Kristine Asuncion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13755 Cicero Ave, Crestwood, IL 60418 Phone: 708-385-2400 Fax: 708-385-8130
Anastasia Ruschke, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13448 Cicero Ave, Crestwood, IL 60418 Phone: 708-682-3384
Anne Marie Horne, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14255 Cicero Ave, Crestwood, IL 60418 Phone: 708-371-0400
Jeraldene Shaffer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14255 Cicero Ave, Crestwood, IL 60445 Phone: 708-371-0400 Fax: 708-371-5871

Mr Bayo Babatunde Agbolade, PMHNP-BC - Medicare Nurse Practitioner in Crestwood, IL