Olasumbo Oluwakemi Dada, - Medicare Nurse Practitioner in Ft. Moore, GA

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Olasumbo Oluwakemi Dada, is a medicare enrolled "Nurse Practitioner - Adult Health" in Ft. Moore, Georgia. Her current practice location is Mach, 6600 Van Aalst Blvd, Ft. Moore, Georgia. You can reach out to her office (for appointments etc.) via phone at (719) 231-9213.

Olasumbo Oluwakemi Dada is licensed to practice in Georgia (license number RN186907) 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 1477806461.

Contact Information

Olasumbo Oluwakemi Dada,
Mach, 6600 Van Aalst Blvd,
Ft. Moore, GA 31905
(719) 231-9213
Not Available

Map and Direction




Provider's Profile

Full NameOlasumbo Oluwakemi Dada
GenderFemale
SpecialityNurse Practitioner - Adult Health
LocationMach, Ft. Moore, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477806461
  • Provider Enumeration Date: 10/16/2012
  • Last Update Date: 02/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355572041
  • Enrollment ID: I20140321001014

Medical Identifiers

Medical identifiers for Olasumbo Oluwakemi Dada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477806461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN186907 (Georgia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN186907 (Georgia)Secondary

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. Olasumbo Oluwakemi Dada allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Behavioral Health And Developmental Disabilities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902030307
PECOS PAC ID: 7416002506
Enrollment ID: O20090825000435

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. Olasumbo Oluwakemi Dada 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 AddressPractice Location Address
Olasumbo Oluwakemi Dada,
30 Meadow Valley Ct,
Midland, GA 31820-4393

Ph: (719) 231-9213		Olasumbo Oluwakemi Dada,
Mach, 6600 Van Aalst Blvd,
Ft. Moore, GA 31905

Ph: (719) 231-9213

Reviews and Comments


Nurse Practitioner Nurses in Ft. Moore, GA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.