Mutiu O Balogun, NP in Auburn Hills, MI - Medicare Nurse Practitioner

Mutiu O Balogun, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Auburn Hills, Michigan. His current practice location is 1525 University Dr, Auburn Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 434-2315.

Mutiu O Balogun is licensed to practice in Michigan (license number 4704334959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619717881.

Contact Information

	Mutiu O Balogun, NP
	1525 University Dr, Auburn Hills, MI 48326-2673
	(313) 434-2315
	Not Available

Map and Direction

Provider's Profile

Full Name	Mutiu O Balogun
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1525 University Dr, Auburn Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619717881
Provider Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3971031303
Enrollment ID: I20250113001305

Medical Identifiers

Medical identifiers for Mutiu O Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619717881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704334959 (Michigan)	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. Mutiu O Balogun allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Mutiu O Balogun 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
Mutiu O Balogun, NP 700 Calvert St, Detroit, MI 48202-1200 Ph: (313) 434-2315	Mutiu O Balogun, NP 1525 University Dr, Auburn Hills, MI 48326-2673 Ph: (313) 434-2315

Reviews and Comments

Nurse Practitioner Nurses in Auburn Hills, MI

Elizabeth Eileen Rodriguez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3884 Forester Blvd, Auburn Hills, MI 48326 Phone: 586-549-7759
Ms. Colleen L Hall-young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2399 E Walton Blvd, Auburn Hills, MI 48326 Phone: 248-475-6300
Mariam Zara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 N Opdyke Rd, Auburn Hills, MI 48326 Phone: 248-289-7400
Ms. Char Donnay Allen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 214605, Auburn Hills, MI 48321 Phone: 248-315-2138
Mrs. Jessica I Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 S Opdyke Rd, Auburn Hills, MI 48326 Phone: 248-333-2600 Fax: 248-333-3250
Sarah Elizabeth Leclercq, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 719 S Opdyke Rd, Auburn Hills, MI 48326 Phone: 248-333-2600

Mutiu O Balogun, NP - Medicare Nurse Practitioner in Auburn Hills, MI