Omotayo Omosebi Abdul, PMHNP in Atlanta, GA - Medicare Nurse Practitioner

Omotayo Omosebi Abdul, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 1401 Peachtree St Ne Ste 110, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 749-3520.

Omotayo Omosebi Abdul is licensed to practice in Georgia (license number APRN-NP114603) 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 1417623984.

Contact Information

	Omotayo Omosebi Abdul, PMHNP
	1401 Peachtree St Ne Ste 110, Atlanta, GA 30309-3005
	(470) 749-3520
	(470) 378-1997

Map and Direction

Provider's Profile

Full Name	Omotayo Omosebi Abdul
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1401 Peachtree St Ne Ste 110, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omotayo Omosebi Abdul graduated from nursing school in 2014

NPI Data:

NPI Number: 1417623984
Provider Enumeration Date: 08/17/2021
Last Update Date: 01/06/2026

Medicare PECOS Information:

PECOS PAC ID: 0749671477
Enrollment ID: I20220106001316

Medical Identifiers

Medical identifiers for Omotayo Omosebi Abdul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417623984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN114603 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN-NP114603 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personal Recovery Network Llc	5092611384	453

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. Omotayo Omosebi Abdul allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

Entity Name	Oasis Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902427149 PECOS PAC ID: 8527484484 Enrollment ID: O20200821002965

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. Omotayo Omosebi Abdul 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
Omotayo Omosebi Abdul, PMHNP 1401 Peachtree St Ne Ste 110, Atlanta, GA 30309-3005 Ph: (470) 749-3520	Omotayo Omosebi Abdul, PMHNP 1401 Peachtree St Ne Ste 110, Atlanta, GA 30309-3005 Ph: (470) 749-3520

Reviews and Comments

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Omotayo Omosebi Abdul, PMHNP - Medicare Nurse Practitioner in Atlanta, GA