Adeola Serifat Adebayo

Key facts

NPI

1609416296

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

AP144448 (TX)

Practice address

800 N Rainbow Blvd Ste 215
Las Vegas, NV 89107-1189

Phone

(725) 333-2411

Fax

(702) 952-5257

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Telemind Inc Adult Mental Health Clinic/Center · Las Vegas, NV · NPI 1891174132
  Medicare reassignment Care Compare group NPD NV · SINGLE SPECIALTY · TX
• Brightside Medical, P.C. Psychiatry Physician · San Francisco, CA · NPI 1801355482
  Medicare reassignment Care Compare group NPD SINGLE SPECIALTY · TX

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Brightside Medical PC (274 clinicians)
Telemind Inc (8 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, NV

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

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• Ayoola Adekile

All providers in Las Vegas, NV · Psychiatric/Mental Health Nurse Practitioner in Nevada