Dr Omofolarin Babatunji Fasuyi, MD, MPH | |
1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 | |
(573) 458-6326 | |
Not Available |
Full Name | Dr Omofolarin Babatunji Fasuyi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1605 Martin Springs Dr, Rolla, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104260090 | NPI | - | NPPES |
1104260090 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2016023338 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Morehouse Healthcare, Inc. | 6002701273 | 101 |
Entity Name | Morehouse Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
Mailing Address | Practice Location Address |
---|---|
Dr Omofolarin Babatunji Fasuyi, MD, MPH 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 Ph: (573) 458-6326 | Dr Omofolarin Babatunji Fasuyi, MD, MPH 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 Ph: (573) 458-6326 |
Dr. Katie Elizabeth Hern, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401 Phone: 573-458-6350 Fax: 573-458-6764 | |
Dr. Randall G. Dudik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208 | |
Dr. Luther D. Spurlock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208 | |
Dr. Kimberly D. Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 734-262-4075 Fax: 573-426-6723 | |
Dr. Jaehyeon Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr Ste 230, Rolla, MO 65401 Phone: 573-458-6326 | |
Mr. Matthew Timothy Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Laurel Dr, Rolla, MO 65401 Phone: 573-596-1765 |