Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER - Medicare Nurse Practitioner in Old Saybrook, CT

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Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Old Saybrook, Connecticut. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice It Takes A Family, Nj Memory And Behavioral Care and her current practice location is 20 Research Parkway, Old Saybrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (800) 370-3651.

Dr Omotayo Elizabeth Awujoola is licensed to practice in New Jersey (license number 26NR14090700) 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 1194932392.

Contact Information

Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER
20 Research Parkway,
Old Saybrook, CT 06475
(800) 370-3651
(860) 370-3651

Map and Direction




Provider's Profile

Full NameDr Omotayo Elizabeth Awujoola
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location20 Research Parkway, Old Saybrook, Connecticut
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:
  • Dr Omotayo Elizabeth Awujoola graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1194932392
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426333774
  • Enrollment ID: I20170328002804

Medical Identifiers

Medical identifiers for Dr Omotayo Elizabeth Awujoola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194932392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00675000 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NR14090700 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
It Takes A Family23656246089
Nj Memory And Behavioral Care771901326765

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. Dr Omotayo Elizabeth Awujoola allows following entities to bill medicare on her behalf.
Entity NameCenter For Family Guidance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803388
PECOS PAC ID: 2860396454
Enrollment ID: O20031125000323
Entity NameNj Memory And Behavioral Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538499181
PECOS PAC ID: 7719013267
Enrollment ID: O20100413000027
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338
Entity NameIt Takes A Family
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336302678
PECOS PAC ID: 2365624608
Enrollment ID: O20110413000086
Entity NameStable Community Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568885663
PECOS PAC ID: 9436374022
Enrollment ID: O20140716000781
Entity NameFaith Consulting Service Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508505488
PECOS PAC ID: 0648654996
Enrollment ID: O20220906000491

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. Dr Omotayo Elizabeth Awujoola 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
Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER
20 Research Pkwy,
Old Saybrook, CT 06475-4214

Ph: (800) 370-3651		Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER
20 Research Parkway,
Old Saybrook, CT 06475

Ph: (800) 370-3651

Reviews and Comments


Nurse Practitioner Nurses in Old Saybrook, CT

Katherine Lm Bender, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 191 Main St, Old Saybrook, CT 06475
Phone: 860-391-0474    Fax: 860-744-9894
Catherine Catti, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475
Phone: 800-370-3651    Fax: 860-510-0020
Cheryl Cuozzo, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1687 Boston Post Rd, Old Saybrook, CT 06475
Phone: 860-661-5976    Fax: 860-358-8664
Marylou Cowles, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475
Phone: 800-370-3651    Fax: 860-510-0020
Danil Anisimov,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475
Phone: 800-370-3651    Fax: 860-510-0020
Debora Ouellette, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475
Phone: 800-370-3651    
Mr. Nathan Wade Scott, A.P.R.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 154 Main St, Old Saybrook, CT 06475
Phone: 860-395-1212    Fax: 860-358-8654

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.