Dr Nancy Dessources Adegoke, PHD in New York, NY - Medicare Clinical Psychologist Provider

Dr Nancy Dessources Adegoke, PHD is a medicare enrolled "Psychologist" provider in New York, New York. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Transformational Healthcare Services and her current practice location is 1430 Broadway Rm 304, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 840-8410.

Dr Nancy Dessources Adegoke is licensed to practice in New York (license number 258864106) 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 1154503191.

Contact Information

	Dr Nancy Dessources Adegoke, PHD
	1430 Broadway Rm 304, New York, NY 10018-9226
	(212) 840-8410
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nancy Dessources Adegoke
Gender	Female
Speciality	Clinical Psychologist
Experience	18 Years
Location	1430 Broadway Rm 304, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nancy Dessources Adegoke graduated from medical school in 2007

NPI Data:

NPI Number: 1154503191
Provider Enumeration Date: 12/01/2007
Last Update Date: 09/19/2025

Medicare PECOS Information:

PECOS PAC ID: 3779807003
Enrollment ID: I20201221000028

Medical Identifiers

Medical identifiers for Dr Nancy Dessources Adegoke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154503191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	258864106 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Transformational Healthcare Services	0547672016	2

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. Dr Nancy Dessources Adegoke allows following entities to bill medicare on her behalf.

Entity Name	Bp Immediate Medical Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205105004 PECOS PAC ID: 8628295581 Enrollment ID: O20200128002376

Entity Name	Transformational Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669082756 PECOS PAC ID: 0547672016 Enrollment ID: O20201208001233

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. Dr Nancy Dessources Adegoke 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
Dr Nancy Dessources Adegoke, PHD 15 Arnold St, Hicksville, NY 11801-5241 Ph: (516) 974-4247	Dr Nancy Dessources Adegoke, PHD 1430 Broadway Rm 304, New York, NY 10018-9226 Ph: (212) 840-8410

Reviews and Comments

Psychologist in New York, NY

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Dr. Madeline Perie Gittleman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 350 E 17th St, Baird Hall, Room 12, New York, NY 10003 Phone: 212-844-1302
Dr. Aileen Clark, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 West St, Suite 11f, New York, NY 10013 Phone: 917-815-9616
Cassandra Cook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 241 Central Park W, Suite 1a, New York, NY 10024 Phone: 212-595-7600
Dr. Lorri Reynard, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1745 Broadway, 17 Fl, New York, NY 10019 Phone: 212-851-8100 Fax: 212-537-0102

Dr Nancy Dessources Adegoke, PHD - Medicare Psychologist in New York, NY