Titilayo Raji, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Tan Vly, Arizona. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Bridges Inc and her current practice location is
3691 W Goldmine Mountain Dr, San Tan Vly, Arizona. You can reach out to her office (for appointments etc.) via phone at
(404) 512-5287.
Titilayo Raji is licensed to practice in Arizona (license number 313398) 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 1346071966.
Provider's Profile
| Full Name | Titilayo Raji |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3691 W Goldmine Mountain Dr, San Tan Vly, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Titilayo Raji graduated from nursing school in 2024
NPI Data:
- NPI Number: 1346071966
- Provider Enumeration Date: 08/13/2024
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456881127
- Enrollment ID: I20250211000361
Medical Identifiers
Medical identifiers for Titilayo Raji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346071966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN259587 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 313398 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Bridges Inc | 2062699721 | 88 |
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. Titilayo Raji allows following entities to bill medicare on her behalf.
| Entity Name | Community Bridges Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558095315
PECOS PAC ID: 2062699721
Enrollment ID: O20110606000388 |
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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. Titilayo Raji 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 |
|---|
Titilayo Raji,
3691 W Goldmine Mountain Dr,
San Tan Vly, AZ 85144
Ph: (404) 512-5287 | Titilayo Raji,
3691 W Goldmine Mountain Dr,
San Tan Vly, AZ 85144
Ph: (404) 512-5287 |
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