Mutiat O Popoola, NURSE PRACTITIONER in Brandywine, MD

Mutiat O Popoola, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandywine, Maryland. Her current practice location is 15518 Kennett Square Way, Brandywine, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 988-3779.

Mutiat O Popoola is licensed to practice in Maryland (license number R205702) 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 1477169936.

Contact Information

	Mutiat O Popoola, NURSE PRACTITIONER
	15518 Kennett Square Way, Brandywine, MD 20613-6239
	(240) 988-3779
	Not Available

Map and Direction

Provider's Profile

Full Name	Mutiat O Popoola
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	15518 Kennett Square Way, Brandywine, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477169936
Provider Enumeration Date: 09/21/2020
Last Update Date: 12/21/2020

Medicare PECOS Information:

PECOS PAC ID: 0143629634
Enrollment ID: I20210603002069

Medical Identifiers

Medical identifiers for Mutiat O Popoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477169936	NPI	-	NPPES
NONE	Other		OPTIONAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R205702 (Maryland)	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. Mutiat O Popoola allows following entities to bill medicare on her behalf.

Entity Name	People Encouraging People Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033234240 PECOS PAC ID: 3476518481 Enrollment ID: O20041201000243

Entity Name	Umaru Labay-kamara Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790289890 PECOS PAC ID: 0143576611 Enrollment ID: O20180713001071

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. Mutiat O Popoola 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
Mutiat O Popoola, NURSE PRACTITIONER 337 Brightseat Rd Ste 201, Hyattsville, MD 20785-4736 Ph: (240) 988-3779	Mutiat O Popoola, NURSE PRACTITIONER 15518 Kennett Square Way, Brandywine, MD 20613-6239 Ph: (240) 988-3779

Reviews and Comments

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Mutiat O Popoola, NURSE PRACTITIONER - Medicare Nurse Practitioner in Brandywine, MD