Mrs Dorcas Bolaji, APRN in Conyers, GA - Medicare Nurse Practitioner

Mrs Dorcas Bolaji, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Conyers, Georgia. Her current practice location is 1231 Sweetgum Trl, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 907-2089.

Mrs Dorcas Bolaji is licensed to practice in Florida (license number 11027248) 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 1609107721.

Contact Information

	Mrs Dorcas Bolaji, APRN
	1231 Sweetgum Trl, Conyers, GA 30012-3593
	(678) 907-2089
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Dorcas Bolaji
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1231 Sweetgum Trl, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609107721
Provider Enumeration Date: 01/29/2010
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3870955784
Enrollment ID: I20230809002127

Medical Identifiers

Medical identifiers for Mrs Dorcas Bolaji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609107721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	RN185697 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11027248 (Florida)	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. Mrs Dorcas Bolaji allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Mrs Dorcas Bolaji 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
Mrs Dorcas Bolaji, APRN 57 Toft Avenue, Grays,, Essex, UK RM17 -5SP Ph: () -	Mrs Dorcas Bolaji, APRN 1231 Sweetgum Trl, Conyers, GA 30012-3593 Ph: (678) 907-2089

Reviews and Comments

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Mrs Dorcas Bolaji, APRN - Medicare Nurse Practitioner in Conyers, GA