Oyewole G Ogunnaike, in Groton, CT - Medicare Nurse Practitioner

Oyewole G Ogunnaike, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Groton, Connecticut. His current practice location is 1057 Poquonnock Rd # 6, Groton, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 984-4552.

Oyewole G Ogunnaike is licensed to practice in Texas (license number 1063029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497416424.

Contact Information

	Oyewole G Ogunnaike,
	1057 Poquonnock Rd # 6, Groton, CT 06340-6630
	(860) 984-4552
	(844) 321-6166

Map and Direction

Provider's Profile

Full Name	Oyewole G Ogunnaike
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1057 Poquonnock Rd # 6, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497416424
Provider Enumeration Date: 01/03/2022
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0143699165
Enrollment ID: I20221214002636

Medical Identifiers

Medical identifiers for Oyewole G Ogunnaike such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497416424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1063029 (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. Oyewole G Ogunnaike allows following entities to bill medicare on his behalf.

Entity Name	Step Up Care Pc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156

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: O20220512000081

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230420001140

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. Oyewole G Ogunnaike 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
Oyewole G Ogunnaike, 125 Eugene Oneill Dr, New London, CT 06320-6410 Ph: (956) 215-6450	Oyewole G Ogunnaike, 1057 Poquonnock Rd # 6, Groton, CT 06340-6630 Ph: (860) 984-4552

Reviews and Comments

Nurse Practitioner Nurses in Groton, CT

Mrs. Cynthia D L'heureux, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303
Matthew David Cooper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123
Joanna L. Breton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Route 12, Groton, CT 06340 Phone: 860-446-6137
Maria Kristine Tompkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 491 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-5107
Dr. John Anthony Hoyos, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 860-694-4123
Kathryn Walck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-0144
Ms. Gail Lee Sanjuan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590

Oyewole G Ogunnaike, - Medicare Nurse Practitioner in Groton, CT