Oluseyi Ige Ogundana, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Oluseyi Ige Ogundana, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. Her current practice location is 4615 Park Heights Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 413-5721.

Oluseyi Ige Ogundana is licensed to practice in Maryland (license number R223394) 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 1023667557.

Contact Information

	Oluseyi Ige Ogundana, CRNP
	4615 Park Heights Ave, Baltimore, MD 21215-6331
	(240) 413-5721
	Not Available

Map and Direction

Provider's Profile

Full Name	Oluseyi Ige Ogundana
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4615 Park Heights Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023667557
Provider Enumeration Date: 09/07/2019
Last Update Date: 09/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0244668663
Enrollment ID: I20200318002387

Medical Identifiers

Medical identifiers for Oluseyi Ige Ogundana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023667557	NPI	-	NPPES
4884	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R223394 (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. Oluseyi Ige Ogundana allows following entities to bill medicare on her behalf.

Entity Name	Salus Capital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415

Entity Name	Consonant Healing Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20191220002103

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. Oluseyi Ige Ogundana 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
Oluseyi Ige Ogundana, CRNP 800 Ingleside Ave Ste C1, Catonsville, MD 21228-1796 Ph: (240) 413-5721	Oluseyi Ige Ogundana, CRNP 4615 Park Heights Ave, Baltimore, MD 21215-6331 Ph: (240) 413-5721

Reviews and Comments

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Oluseyi Ige Ogundana, CRNP - Medicare Nurse Practitioner in Baltimore, MD