Omotayo Theresa Gbengaojo, APRN in Mansfield, TX

Omotayo Theresa Gbengaojo, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mansfield, Texas. Her current practice location is 1475 Heritage Pkwy Ste 209, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 523-8812.

Omotayo Theresa Gbengaojo is licensed to practice in Texas (license number 1110419) 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 1972201895.

Contact Information

	Omotayo Theresa Gbengaojo, APRN
	1475 Heritage Pkwy Ste 209, Mansfield, TX 76063-2740
	(817) 523-8812
	Not Available

Map and Direction

Provider's Profile

Full Name	Omotayo Theresa Gbengaojo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1475 Heritage Pkwy Ste 209, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972201895
Provider Enumeration Date: 02/20/2023
Last Update Date: 05/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3173985470
Enrollment ID: I20230818000869

Medical Identifiers

Medical identifiers for Omotayo Theresa Gbengaojo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972201895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1110419 (Texas)	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. Omotayo Theresa Gbengaojo allows following entities to bill medicare on her behalf.

Entity Name	Holistic Health And Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649870783 PECOS PAC ID: 5890105829 Enrollment ID: O20201103002327

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Entity Name	Rehoboth Mental Health And Psychaitry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053156331 PECOS PAC ID: 1153868492 Enrollment ID: O20240803000407

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 Theresa Gbengaojo 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 Theresa Gbengaojo, APRN 1312 Lawnview Dr, Forney, TX 75126-1308 Ph: (903) 922-5944	Omotayo Theresa Gbengaojo, APRN 1475 Heritage Pkwy Ste 209, Mansfield, TX 76063-2740 Ph: (817) 523-8812

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Sherri Kirschbaum, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 E Broad St, Mansfield, TX 76063 Phone: 817-453-5912
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mr. Ankit R Parikh, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659

Omotayo Theresa Gbengaojo, APRN - Medicare Nurse Practitioner in Mansfield, TX