Terell Adetunji, is a
Licensed Practical Nurse based in Lake Ozark, Missouri. Terell Adetunji is licensed to practice in Missouri (license number 2026042125) and his current practice location is
130 Calo Ln, Lake Ozark, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 745-5253.
NPI number for Terell Adetunji is 1669382909 and his current mailing address is 130 Calo Ln, Lake Ozark, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669382909.
Provider's Profile
| Full Name | Terell Adetunji |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 130 Calo Ln, Lake Ozark, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669382909
- Provider Enumeration Date: 09/09/2026
- Last Update Date: 09/09/2026
Medical Identifiers
Medical identifiers for Terell Adetunji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669382909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 2026042125 (Missouri) | Primary |
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. Terell Adetunji is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Terell Adetunji,
130 Calo Ln,
Lake Ozark, MO 65049-9208
Ph: Not Available | Terell Adetunji,
130 Calo Ln,
Lake Ozark, MO 65049-9208
Ph: (573) 745-5253 |
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