Olubanke Babalola, FNP - Medicare Nurse Practitioner in Portland, OR

Olubanke Babalola, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 17979 Ne Glisan St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (888) 227-3312.

Olubanke Babalola is licensed to practice in Oregon (license number 201605458NP-PP) 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 1013329002.

Contact Information

Olubanke Babalola, FNP
17979 Ne Glisan St,
Portland, OR 97230-6507
(888) 227-3312
Not Available



Provider's Profile

Full NameOlubanke Babalola
GenderFemale
SpecialityNurse Practitioner - Family
Location17979 Ne Glisan St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013329002
  • Provider Enumeration Date: 05/23/2014
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133345275
  • Enrollment ID: I20140724002407

Medical Identifiers

Medical identifiers for Olubanke Babalola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013329002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NUR-APRN-LIC-157784 (Montana)Secondary
363LF0000XNurse Practitioner - Family AP61009656 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP125699 (Texas)Secondary
363LF0000XNurse Practitioner - Family 201605458NP-PP (Oregon)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. Olubanke Babalola allows following entities to bill medicare on her behalf.
Entity NameGrace Clinic Of Lubbock
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912953357
PECOS PAC ID: 5597768101
Enrollment ID: O20060822000256

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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. Olubanke Babalola 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
Olubanke Babalola, FNP
Po Box 3229,
Portland, OR 97208-3229

Ph: () -
Olubanke Babalola, FNP
17979 Ne Glisan St,
Portland, OR 97230-6507

Ph: (888) 227-3312

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Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

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