Mrs Ibironke Otetubi, in Morris Plains, NJ - Medicare Nurse Practitioner

Mrs Ibironke Otetubi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Morris Plains, New Jersey. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mount Carmel Guild Behavioral Health System and her current practice location is 59 Koch Ave, Morris Plains, New Jersey. You can reach out to her office (for appointments etc.) via phone at (977) 538-1800.

Mrs Ibironke Otetubi is licensed to practice in New Jersey (license number 26NJ01094000) 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 1730773656.

Contact Information

	Mrs Ibironke Otetubi,
	59 Koch Ave, Morris Plains, NJ 07950-4400
	(977) 538-1800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ibironke Otetubi
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	59 Koch Ave, Morris Plains, 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:

Mrs Ibironke Otetubi graduated from nursing school in 2019

NPI Data:

NPI Number: 1730773656
Provider Enumeration Date: 02/22/2021
Last Update Date: 02/22/2021

Medicare PECOS Information:

PECOS PAC ID: 3476953977
Enrollment ID: I20210621000188

Medical Identifiers

Medical identifiers for Mrs Ibironke Otetubi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730773656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ01094000 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mount Carmel Guild Behavioral Health System	2668428780	14

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 Ibironke Otetubi allows following entities to bill medicare on her behalf.

Entity Name	Mount Carmel Guild Behavioral Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174854749 PECOS PAC ID: 2668428780 Enrollment ID: O20050322000958

Entity Name	Amity Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275083305 PECOS PAC ID: 6103161278 Enrollment ID: O20181218000978

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 Ibironke Otetubi 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 Ibironke Otetubi, 59 Koch Ave, Morris Plains, NJ 07950-4400 Ph: (977) 538-1800	Mrs Ibironke Otetubi, 59 Koch Ave, Morris Plains, NJ 07950-4400 Ph: (977) 538-1800

Reviews and Comments

Nurse Practitioner Nurses in Morris Plains, NJ

Ms. Amanda Marie Golaszewski, AG-AC DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Foxwood Dr Apt E, Morris Plains, NJ 07950 Phone: 973-534-7832
Ngozi M Amaechi, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 862-368-1211
Maureen N Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Speedwell Ave, Morris Plains, NJ 07950 Phone: 862-242-8053
Mr. Kwaku Asafu-adjaye, APN (PMHNP) Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 973-538-1800
Marie Jocelyne Seignon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 973-243-0514
Mrs. Dara Ashley Cooper, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 891 Tabor Rd, Morris Plains, NJ 07950 Phone: 973-359-8859
Sonia Gluckman, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Speedwell Ave, Morris Plains, NJ 07950 Phone: 862-242-8053 Fax: 862-242-8054

Mrs Ibironke Otetubi, - Medicare Nurse Practitioner in Morris Plains, NJ