Omowunmi Balogun, in Glendale, CA - Medicare Nurse Practitioner

Omowunmi Balogun, is a medicare enrolled "Nurse Practitioner - Family" in Glendale, California. Her current practice location is 1717 N Verdugo Rd, Apt 161, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (310) 279-2818.

Omowunmi Balogun is licensed to practice in California (license number 95003203) 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 1811369424.

Contact Information

	Omowunmi Balogun,
	1717 N Verdugo Rd, Apt 161, Glendale, CA 91208-2934
	(310) 279-2818
	Not Available

Map and Direction

Provider's Profile

Full Name	Omowunmi Balogun
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1717 N Verdugo Rd, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811369424
Provider Enumeration Date: 10/22/2015
Last Update Date: 10/22/2015

Medicare PECOS Information:

PECOS PAC ID: 2860789278
Enrollment ID: I20160929001521

Medical Identifiers

Medical identifiers for Omowunmi Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811369424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95003203 (California)	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. Omowunmi Balogun allows following entities to bill medicare on her behalf.

Entity Name	Palliative Care Doctors Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578826053 PECOS PAC ID: 6305092768 Enrollment ID: O20120820000105

Entity Name	Mobile Physicians Comfort Care, Inc - Apmc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386428126 PECOS PAC ID: 3072962539 Enrollment ID: O20231208001161

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. Omowunmi Balogun 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
Omowunmi Balogun, 1717 N Verdugo Rd, Apt 161, Glendale, CA 91208-2934 Ph: (310) 279-2818	Omowunmi Balogun, 1717 N Verdugo Rd, Apt 161, Glendale, CA 91208-2934 Ph: (310) 279-2818

Reviews and Comments

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Omowunmi Balogun, - Medicare Nurse Practitioner in Glendale, CA