Olabisi Kehinde Adewumi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Port Barrington, Illinois. Her current practice location is
717 Brighton Cir, Port Barrington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 431-8475.
Olabisi Kehinde Adewumi is licensed to practice in Illinois (license number 209.028136) 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 1396510459.
Provider's Profile
Full Name | Olabisi Kehinde Adewumi |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 717 Brighton Cir, Port Barrington, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396510459
- Provider Enumeration Date: 11/20/2023
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375071012
- Enrollment ID: I20250109001233
Medical Identifiers
Medical identifiers for Olabisi Kehinde Adewumi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396510459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.028136 (Illinois) | 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. Olabisi Kehinde Adewumi allows following entities to bill medicare on her behalf.
Entity Name | Benrach Mental Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134935596 PECOS PAC ID: 9739617473 Enrollment ID: O20250109001156 |
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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. Olabisi Kehinde Adewumi 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 |
Olabisi Kehinde Adewumi, 717 Brighton Cir, Port Barrington, IL 60010-7039 Ph: (773) 431-8475 | Olabisi Kehinde Adewumi, 717 Brighton Cir, Port Barrington, IL 60010-7039 Ph: (773) 431-8475 |
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