Olatunji Ismail Iberu-olushoga, CRNP in Severn, MD

Olatunji Ismail Iberu-olushoga, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Severn, Maryland. His current practice location is 1509 Fitzpatrick Dr, Severn, Maryland. You can reach out to his office (for appointments etc.) via phone at (130) 172-8034.

Olatunji Ismail Iberu-olushoga is licensed to practice in Maryland (license number R214785) 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 1104497841.

Contact Information

	Olatunji Ismail Iberu-olushoga, CRNP
	1509 Fitzpatrick Dr, Severn, MD 21144-3142
	(130) 172-8034
	Not Available

Map and Direction

Provider's Profile

Full Name	Olatunji Ismail Iberu-olushoga
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1509 Fitzpatrick Dr, Severn, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104497841
Provider Enumeration Date: 07/04/2021
Last Update Date: 07/04/2021

Medicare PECOS Information:

PECOS PAC ID: 6507255155
Enrollment ID: I20220217001814

Medical Identifiers

Medical identifiers for Olatunji Ismail Iberu-olushoga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104497841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R214785 (Maryland)	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. Olatunji Ismail Iberu-olushoga allows following entities to bill medicare on his behalf.

Entity Name	Daniel R. Howard, Md. Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962604991 PECOS PAC ID: 0042220923 Enrollment ID: O20060424000251

Entity Name	Juniper Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608171 PECOS PAC ID: 1355648064 Enrollment ID: O20160323002534

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. Olatunji Ismail Iberu-olushoga 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
Olatunji Ismail Iberu-olushoga, CRNP 1509 Fitzpatrick Dr, Severn, MD 21144-3142 Ph: (130) 172-8034	Olatunji Ismail Iberu-olushoga, CRNP 1509 Fitzpatrick Dr, Severn, MD 21144-3142 Ph: (130) 172-8034

Reviews and Comments

Nurse Practitioner Nurses in Severn, MD

Mrs. Oluwatoyin Esther Falana, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1867 Disney Estates Cir, Severn, MD 21144 Phone: 315-450-6423
Ms. Sandra Marie Aran, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Denson Dr, Severn, MD 21144 Phone: 443-956-5100
Afia Esther Ewoo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8121 Mount Aventine Rd, Severn, MD 21144 Phone: 703-717-1068
Mrs. Jennifer Paulette Pope, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7948 Andorick Dr, Severn, MD 21144 Phone: 443-599-8479
Ephraim Akin Makinde, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8508 Okeefe Dr, Severn, MD 21144 Phone: 240-421-1251
Ms. Abimbola Hillard, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1778 Grande View Ave, Severn, MD 21144 Phone: 240-501-8616

Olatunji Ismail Iberu-olushoga, CRNP - Medicare Nurse Practitioner in Severn, MD