Dr Adeola Olufisayo Fakolade, MD | |
2259 Lake Ave, Ashtabula, OH 44004-3437 | |
(440) 994-7654 | |
Not Available |
Full Name | Dr Adeola Olufisayo Fakolade |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 2259 Lake Ave, Ashtabula, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437530235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT209150 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 35.139307 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ashtabula Regional Home Health | Ashtabula, OH | Home health agency |
Ashtabula County Medical Center | Ashtabula, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ashtabula County Medical Center | 2668465600 | 65 |
Entity Name | Ashtabula County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
Mailing Address | Practice Location Address |
---|---|
Dr Adeola Olufisayo Fakolade, MD Po Box 92987, Cleveland, OH 44194-2987 Ph: () - | Dr Adeola Olufisayo Fakolade, MD 2259 Lake Ave, Ashtabula, OH 44004-3437 Ph: (440) 994-7654 |
John Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-4422 | |
Gregory Charles Brant, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4716 N Ridge Rd W, Ashtabula, OH 44004 Phone: 440-969-1112 Fax: 440-969-9612 | |
Sandra L Cook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 517 W Prospect Rd, Suite C, Ashtabula, OH 44004 Phone: 440-998-3385 Fax: 440-992-5949 | |
Dr. Archie Scott Wilkinson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2736 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-7554 Fax: 440-992-3962 | |
Dr. Susan Marie Ratay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2131 Lake Ave, Suite 4, Ashtabula, OH 44004 Phone: 440-964-3733 Fax: 440-964-7069 | |
Dr. James Lambros, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 611 Lake Ave, Ashtabula, OH 44004 Phone: 440-964-0616 Fax: 440-964-3703 |