Latif Adeyemi Mustapha, NP - Medicare Nurse Practitioner in Avondale, AZ

Latif Adeyemi Mustapha, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Avondale, Arizona. His current practice location is 12025 W Apache St, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 241-2084.

Latif Adeyemi Mustapha is licensed to practice in Arizona (license number 250957) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700473600.

Contact Information

Latif Adeyemi Mustapha, NP
12025 W Apache St,
Avondale, AZ 85323-8220
(623) 241-2084
Not Available



Provider's Profile

Full NameLatif Adeyemi Mustapha
GenderMale
SpecialityNurse Practitioner - Gerontology
Location12025 W Apache St, Avondale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700473600
  • Provider Enumeration Date: 12/25/2020
  • Last Update Date: 12/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022406461
  • Enrollment ID: I20211103003005

Medical Identifiers

Medical identifiers for Latif Adeyemi Mustapha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700473600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 250957 (Arizona)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. Latif Adeyemi Mustapha allows following entities to bill medicare on his behalf.
Entity NameArizona Doctors Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033507033
PECOS PAC ID: 8123347325
Enrollment ID: O20150511001806

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Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869

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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. Latif Adeyemi Mustapha 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
Latif Adeyemi Mustapha, NP
12025 W Apache St,
Avondale, AZ 85323-8220

Ph: (623) 241-2084
Latif Adeyemi Mustapha, NP
12025 W Apache St,
Avondale, AZ 85323-8220

Ph: (623) 241-2084

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Nurse Practitioner Nurses in Avondale, AZ

Mr. Justin Markel Belford, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3426 N 126th Dr, Avondale, AZ 85392
Phone: 623-695-4011    
Courtney Standifird,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392
Phone: 623-935-1000    
Kia Lambeth,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392
Phone: 623-936-3312    Fax: 623-936-4248
Amy Christine Amore,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392
Phone: 623-547-0522    
Mrs. Marytza Olivas-osuna, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392
Phone: 623-322-5900    
Joyce Bour, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392
Phone: 623-792-0209    
Bolatito Oyeronke Okougbo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10926 W Ivory Ln, Avondale, AZ 85392
Phone: 623-977-7644    

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