Dr Eniola Oladosu Fagbongbe, MD in Fort Worth, TX

Dr Eniola Oladosu Fagbongbe, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Worth, Texas. His current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 321-0404.

Dr Eniola Oladosu Fagbongbe is licensed to practice in Texas (license number U6233) 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 1912394495.

Contact Information

	Dr Eniola Oladosu Fagbongbe, MD
	815 Pennsylvania Ave, Fort Worth, TX 76104-2224
	(817) 321-0404
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Eniola Oladosu Fagbongbe
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	815 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912394495
Provider Enumeration Date: 04/22/2015
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4789976168
Enrollment ID: I20230912001200

Medical Identifiers

Medical identifiers for Dr Eniola Oladosu Fagbongbe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912394495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	BP10052972 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	U6233 (Texas)	Primary
2085R0202X	Radiology - Diagnostic Radiology	57.028708 (Ohio)	Secondary

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 Eniola Oladosu Fagbongbe allows following entities to bill medicare on his behalf.

Entity Name	Texas Childrens Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209

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 Eniola Oladosu Fagbongbe 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 Eniola Oladosu Fagbongbe, MD 816 W Cannon St, Fort Worth, TX 76104-3146 Ph: () -	Dr Eniola Oladosu Fagbongbe, MD 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 Ph: (817) 321-0404

Reviews and Comments

Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387
Dr. Robert Lewis Emery, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404

Dr Eniola Oladosu Fagbongbe, MD - Medicare Radiology in Fort Worth, TX