Olajumoke Omolola Jongbo, PMHNP in Maricopa, AZ

Olajumoke Omolola Jongbo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Maricopa, Arizona. Her current practice location is 43713 W Cowpath Rd, Maricopa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 865-9753.

Olajumoke Omolola Jongbo is licensed to practice in Arizona (license number 291899) 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 1881262509.

Contact Information

	Olajumoke Omolola Jongbo, PMHNP
	43713 W Cowpath Rd, Maricopa, AZ 85138-5662
	(602) 865-9753
	(702) 608-7752

Map and Direction

Provider's Profile

Full Name	Olajumoke Omolola Jongbo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	43713 W Cowpath Rd, Maricopa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881262509
Provider Enumeration Date: 06/17/2021
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2567826936
Enrollment ID: I20230919000719

Medical Identifiers

Medical identifiers for Olajumoke Omolola Jongbo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881262509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN204392 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	291899 (Arizona)	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. Olajumoke Omolola Jongbo allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family & Childrens Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009

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. Olajumoke Omolola Jongbo 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
Olajumoke Omolola Jongbo, PMHNP 43713 W Cowpath Rd, Maricopa, AZ 85138-5662 Ph: (602) 865-9753	Olajumoke Omolola Jongbo, PMHNP 43713 W Cowpath Rd, Maricopa, AZ 85138-5662 Ph: (602) 865-9753

Reviews and Comments

Nurse Practitioner Nurses in Maricopa, AZ

Amanda Toppel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500
Carmen Patricia Born, PMHNP-BC, RN, LMT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35641 W Costa Blanca Dr, Maricopa, AZ 85138 Phone: 443-823-5908
Ms. Tyeasa Renae Jones, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41704 W Smith Enke Rd Ste 100, Maricopa, AZ 85138 Phone: 623-200-3526 Fax: 623-401-6598
Ms. Joey Dee Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44162 W Lindgren Dr, Maricopa, AZ 85138 Phone: 602-292-2065
Chelsea Bollinger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy Ste 112, Maricopa, AZ 85139 Phone: 520-568-9500
Rita Greene, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44572 W Bowlin Rd, Maricopa, AZ 85138 Phone: 520-568-2245 Fax: 520-568-2316
Lleva Groves, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21300 N John Wayne Pkwy Ste 102, Maricopa, AZ 85139 Phone: 480-306-5151 Fax: 480-306-4648

Olajumoke Omolola Jongbo, PMHNP - Medicare Nurse Practitioner in Maricopa, AZ