Mrs Olubukola Elizabeth Ajayi, PMHNP in Richmond Hill, NY

Mrs Olubukola Elizabeth Ajayi, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Richmond Hill, New York. Her current practice location is 11606 Myrtle Ave, Richmond Hill, New York. You can reach out to her office (for appointments etc.) via phone at (718) 850-7099.

Mrs Olubukola Elizabeth Ajayi is licensed to practice in New York (license number F403941) 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 1154620912.

Contact Information

	Mrs Olubukola Elizabeth Ajayi, PMHNP
	11606 Myrtle Ave, Richmond Hill, NY 11418-1748
	(718) 850-7099
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Olubukola Elizabeth Ajayi
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11606 Myrtle Ave, Richmond Hill, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154620912
Provider Enumeration Date: 03/19/2011
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2567854664
Enrollment ID: I20230417000177

Medical Identifiers

Medical identifiers for Mrs Olubukola Elizabeth Ajayi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154620912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	626867-1 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN302062 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F4033941 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F403941 (New York)	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 Olubukola Elizabeth Ajayi allows following entities to bill medicare on her behalf.

Entity Name	Family Residences And Essential Enterprises Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093863565 PECOS PAC ID: 5890687453 Enrollment ID: O20040327000334

Entity Name	Federation Of Organizations For The Ny State Mentally Disabled, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040

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 Olubukola Elizabeth Ajayi 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 Olubukola Elizabeth Ajayi, PMHNP 1441 E 86th St, Brooklyn, NY 11236-5133 Ph: (347) 217-0011	Mrs Olubukola Elizabeth Ajayi, PMHNP 11606 Myrtle Ave, Richmond Hill, NY 11418-1748 Ph: (718) 850-7099

Reviews and Comments

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Ms. Cheryl A Mackey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9007 104th St, Richmond Hill, NY 11418 Phone: 917-494-9340
Mira Inoyatov, RN, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
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Mrs Olubukola Elizabeth Ajayi, PMHNP - Medicare Nurse Practitioner in Richmond Hill, NY