Uhunoma Lysa Osadolor, - Medicare Nurse Practitioner in Golden Valley, MN

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Uhunoma Lysa Osadolor, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Golden Valley, Minnesota. Her current practice location is 1710 Douglas Dr N Ste 204, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 584-9629.

Uhunoma Lysa Osadolor is licensed to practice in Minnesota (license number 8149) 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 1295314391.

Contact Information

Uhunoma Lysa Osadolor,
1710 Douglas Dr N Ste 204,
Golden Valley, MN 55422-4387
(612) 584-9629
Not Available

Map and Direction




Provider's Profile

Full NameUhunoma Lysa Osadolor
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1710 Douglas Dr N Ste 204, Golden Valley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295314391
  • Provider Enumeration Date: 04/06/2021
  • Last Update Date: 03/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173925823
  • Enrollment ID: I20210716002533

Medical Identifiers

Medical identifiers for Uhunoma Lysa Osadolor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295314391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 8149 (Minnesota)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. Uhunoma Lysa Osadolor allows following entities to bill medicare on her behalf.
Entity NameEncounter Telehealth, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922342195
PECOS PAC ID: 9931348307
Enrollment ID: O20170320002447
Entity NameAmple Grace Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952971657
PECOS PAC ID: 1254724313
Enrollment ID: O20220214000384
Entity NameAshlee Secord
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073902177
PECOS PAC ID: 1355719287
Enrollment ID: O20221123002081

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. Uhunoma Lysa Osadolor 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 AddressPractice Location Address
Uhunoma Lysa Osadolor,
1710 Douglas Dr N Ste 204,
Golden Valley, MN 55422-4387

Ph: () -		Uhunoma Lysa Osadolor,
1710 Douglas Dr N Ste 204,
Golden Valley, MN 55422-4387

Ph: (612) 584-9629

Reviews and Comments


Nurse Practitioner Nurses in Golden Valley, MN

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Phone: 612-682-4912    Fax: 612-682-4914

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.