Olabisi L Emenanjo, PA-C is a
Physician Assistant based in Centreville, Maryland. Olabisi L Emenanjo is licensed to practice in Maryland (license number C0003491) and her current practice location is
2977 4h Park Rd # 125, Centreville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 989-9859.
NPI number for Olabisi L Emenanjo is 1679723274 and her current mailing address is Po Box 332, #76572, Columbia, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679723274.
Provider's Profile
| Full Name | Olabisi L Emenanjo |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2977 4h Park Rd # 125, Centreville, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679723274
- Provider Enumeration Date: 09/19/2008
- Last Update Date: 08/28/2026
Medical Identifiers
Medical identifiers for Olabisi L Emenanjo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679723274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | C0003491 (Maryland) | Primary |
| 363A00000X | Physician Assistant | PA030495 (District Of Columbia) | Secondary |
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 L Emenanjo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Olabisi L Emenanjo, PA-C Po Box 332, #76572, Columbia, MD 21045-0332 Ph: (804) 968-5700 | Olabisi L Emenanjo, PA-C 2977 4h Park Rd # 125, Centreville, MD 21617-2232 Ph: (410) 989-9859 |
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