Omorowa Obanor, CRNP in Berwyn, PA - Medicare Nurse Practitioner

Omorowa Obanor, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Berwyn, Pennsylvania. Her current practice location is 1001 Chesterbrook Blvd., Berwyn, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 615-5454.

Omorowa Obanor is licensed to practice in Pennsylvania (license number SP031434) 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 1821539784.

Contact Information

	Omorowa Obanor, CRNP
	1001 Chesterbrook Blvd., Berwyn, PA 19312-3805
	(215) 615-5454
	(215) 349-5534

Map and Direction

Provider's Profile

Full Name	Omorowa Obanor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1001 Chesterbrook Blvd., Berwyn, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821539784
Provider Enumeration Date: 03/13/2017
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 5092236463
Enrollment ID: I20250303001411

Medical Identifiers

Medical identifiers for Omorowa Obanor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821539784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP031434 (Pennsylvania)	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. Omorowa Obanor allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Omorowa Obanor 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
Omorowa Obanor, CRNP 3400 Civic Center Blvd, Philadelphia, PA 19104-4238 Ph: (215) 615-5454	Omorowa Obanor, CRNP 1001 Chesterbrook Blvd., Berwyn, PA 19312-3805 Ph: (215) 615-5454

Reviews and Comments

Nurse Practitioner Nurses in Berwyn, PA

Mary Evans Greene, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 685 Kromer Ave, Berwyn, PA 19312 Phone: 109-950-1006 Fax: 109-950-4006
Kaelen Mcmullin, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Chesterbrook Blvd, Berwyn, PA 19312 Phone: 570-640-7262 Fax: 610-576-7707
Kathryn Emily Walters, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd Fl 3, Berwyn, PA 19312 Phone: 610-576-7500 Fax: 215-576-7708
Mrs. Margareth Fontaine, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Buttonwood Rd, Berwyn, PA 19312 Phone: 484-319-2288
Patricia A Gillin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd Fl 2, Berwyn, PA 19312 Phone: 610-576-7500
Nikkira T Townsend, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Lancaster Ave # 100, Berwyn, PA 19312 Phone: 610-251-2525
Ibukun Abosede Olagunju, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Wayland Rd, Berwyn, PA 19312 Phone: 610-325-2942

Omorowa Obanor, CRNP - Medicare Nurse Practitioner in Berwyn, PA