Mrs Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN in Philadelphia, PA

Mrs Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Philadelphia, Pennsylvania. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pinnacle Health Hospitalist Services Llc and her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-1622.

Mrs Olutoyin Ekundayo is licensed to practice in Pennsylvania (license number SP016699) 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 1053862292.

Contact Information

	Mrs Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-1622
	(215) 707-0943

Map and Direction

Provider's Profile

Full Name	Mrs Olutoyin Ekundayo
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3401 N Broad St, Philadelphia, Pennsylvania
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 Olutoyin Ekundayo graduated from nursing school in 2016

NPI Data:

NPI Number: 1053862292
Provider Enumeration Date: 10/24/2016
Last Update Date: 05/10/2018

Medicare PECOS Information:

PECOS PAC ID: 6406131762
Enrollment ID: I20170329000386

Medical Identifiers

Medical identifiers for Mrs Olutoyin Ekundayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053862292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP016699 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carlisle Regional Medical Center	Carlisle, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pinnacle Health Hospitalist Services Llc	9739313545	175

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 Olutoyin Ekundayo allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Health Hospitalist Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023458148 PECOS PAC ID: 9739313545 Enrollment ID: O20131010001079

Entity Name	Advanced Inpatient Medicine Lehigh Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437537875 PECOS PAC ID: 7416269741 Enrollment ID: O20150630000466

Entity Name	Nazareth Physician Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285150458 PECOS PAC ID: 0941229017 Enrollment ID: O20171026001610

Entity Name	Ahn Observation Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466

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 Olutoyin Ekundayo 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 Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-1622	Mrs Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-1622

Reviews and Comments

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Mrs Olutoyin Ekundayo, MSN, AGPCNP-BC, CCRN - Medicare Nurse Practitioner in Philadelphia, PA