Taiwo Iyabo Adebayo, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Peebles, Ohio. Her current practice location is
154 Elliott Ave, Peebles, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 587-2618.
Taiwo Iyabo Adebayo is licensed to practice in Ohio (license number A.P.R.N.0030333) 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 1366100554.
Provider's Profile
| Full Name | Taiwo Iyabo Adebayo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 154 Elliott Ave, Peebles, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366100554
- Provider Enumeration Date: 12/04/2021
- Last Update Date: 12/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264828052
- Enrollment ID: I20220404001449
Medical Identifiers
Medical identifiers for Taiwo Iyabo Adebayo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366100554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | A.P.R.N.0030333 (Ohio) | 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. Taiwo Iyabo Adebayo allows following entities to bill medicare on her behalf.
| Entity Name | Cg Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216 |
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| Entity Name | Theoria Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20200728002910 |
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| Entity Name | On Time Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619691177
PECOS PAC ID: 9335516020
Enrollment ID: O20221109002821 |
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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. Taiwo Iyabo Adebayo 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 |
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Taiwo Iyabo Adebayo, NP
154 Elliott Ave,
Peebles, OH 45660-1028
Ph: (937) 587-2618 | Taiwo Iyabo Adebayo, NP
154 Elliott Ave,
Peebles, OH 45660-1028
Ph: (937) 587-2618 |
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