Oyeronke O Ajiboye-lala, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Douglas, Arizona. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightside Medical Of Michigan Pc and her current practice location is
1701 N Douglas Ave, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 366-3133.
Oyeronke O Ajiboye-lala is licensed to practice in Arizona (license number AP11428) 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 1073920203.
Provider's Profile
| Full Name | Oyeronke O Ajiboye-lala |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 9 Years |
|---|
| Location | 1701 N Douglas Ave, Douglas, Arizona |
|---|
| 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:
- Oyeronke O Ajiboye-lala graduated from nursing school in 2017
NPI Data:
- NPI Number: 1073920203
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 04/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 9032331202
- Enrollment ID: I20141104001765
Medical Identifiers
Medical identifiers for Oyeronke O Ajiboye-lala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073920203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95019627 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404390 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-NP201907 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | C-APN.0100643-C-NP (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2349570 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 72860 (New Mexico) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11011367 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0010430 (Delaware) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202103599NP-PP (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-82112-121 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AC005293 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP11428 (Arizona) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61054931 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | RN201907 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brightside Medical Of Michigan Pc | 9830562776 | 93 |
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. Oyeronke O Ajiboye-lala 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 |
|---|
Oyeronke O Ajiboye-lala, NP
3651 Peachtree Parkway, Ste E #234,
Suwanee, GA 30024
Ph: (470) 270-0730 | Oyeronke O Ajiboye-lala, NP
1701 N Douglas Ave,
Douglas, AZ 85607-1019
Ph: (520) 366-3133 |
Reviews and Comments