Olubukola E Shodiya, - Medicare Nurse Practitioner in Madison, WI

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Olubukola E Shodiya, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Madison, Wisconsin. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Encounter Telehealth Inc, Encounter Telehealth Inc and her current practice location is 2921 Landmark Pl Ste 215, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (708) 713-1017.

Olubukola E Shodiya is licensed to practice in Illinois (license number 209.020728) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104456961.

Contact Information

Olubukola E Shodiya,
2921 Landmark Pl Ste 215,
Madison, WI 53713-4248
(708) 713-1017
Not Available

Map and Direction




Provider's Profile

Full NameOlubukola E Shodiya
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2921 Landmark Pl Ste 215, Madison, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olubukola E Shodiya graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104456961
  • Provider Enumeration Date: 01/21/2020
  • Last Update Date: 06/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436574969
  • Enrollment ID: I20200731000303

Medical Identifiers

Medical identifiers for Olubukola E Shodiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104456961NPI-NPPES
1681833OtherWIWI APRN
71013331AOtherININ APRN
209.020728OtherILIDFPR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 115698 (Nebraska)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1681833 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71013331A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.020728 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Encounter Telehealth Inc993134830717
Encounter Telehealth Inc993134830717

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. Olubukola E Shodiya allows following entities to bill medicare on her behalf.
Entity NameMd Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467754911
PECOS PAC ID: 5496938532
Enrollment ID: O20110325000846
Entity NameEncounter Telehealth, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922342195
PECOS PAC ID: 9931348307
Enrollment ID: O20170407000860
Entity NameVitae Health Medical Illinois, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174013452
PECOS PAC ID: 2365798410
Enrollment ID: O20180703002838
Entity NameBh Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942811930
PECOS PAC ID: 0547780520
Enrollment ID: O20250220001841

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. Olubukola E Shodiya 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
Olubukola E Shodiya,
16514 S Sun Meadow Dr,
Lockport, IL 60441-5078

Ph: (708) 713-1017		Olubukola E Shodiya,
2921 Landmark Pl Ste 215,
Madison, WI 53713-4248

Ph: (708) 713-1017

Reviews and Comments


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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.