Dr Omotayo Temitope Fawibe, MD in Fort Wayne, IN

Dr Omotayo Temitope Fawibe, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Fort Wayne, Indiana. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice American Current Care Pa and his current practice location is 3978 New Vision Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 672-4680.

Dr Omotayo Temitope Fawibe is licensed to practice in Indiana (license number 01076903A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851634554.

Contact Information

	Dr Omotayo Temitope Fawibe, MD
	3978 New Vision Dr, Fort Wayne, IN 46845
	(260) 672-4680
	(260) 458-5836

Map and Direction

Physician's Profile

Full Name	Dr Omotayo Temitope Fawibe
Gender	Male
Speciality	Preventive Medicine
Experience	14 Years
Location	3978 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Omotayo Temitope Fawibe graduated from medical school in 2010

NPI Data:

NPI Number: 1851634554
Provider Enumeration Date: 04/01/2013
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0345507950
Enrollment ID: I20171206000631

Medical Identifiers

Medical identifiers for Dr Omotayo Temitope Fawibe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851634554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	S5894 (Texas)	Secondary
2083X0100X	Preventive Medicine - Occupational Medicine	01076903A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Current Care Pa	9739260019	411

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 Omotayo Temitope Fawibe allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013194455 PECOS PAC ID: 9739260019 Enrollment ID: O20080624000647

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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 Omotayo Temitope Fawibe 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 Omotayo Temitope Fawibe, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Omotayo Temitope Fawibe, MD 3978 New Vision Dr, Fort Wayne, IN 46845 Ph: (260) 672-4680

Reviews and Comments

Preventive Medicine Doctors in Fort Wayne, IN

Dr. Daniel J Simmonds, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 302 E Jefferson Blvd, Fort Wayne, IN 46802 Phone: 260-426-2644 Fax: 260-426-1914
Dr. Vincent Paul Moore, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 7221 Engle Rd Ste 220, Fort Wayne, IN 46804 Phone: 260-469-8223 Fax: 260-469-8201
Thomas Savoie, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Fox Hound Way Apt 1b, Fort Wayne, IN 46804 Phone: 219-436-3603
Cynthia L Wellman, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-6070 Fax: 260-373-6704
Michael Knipp, M.D., M.S. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3103 E State Blvd, Fort Wayne, IN 46805 Phone: 260-373-9300
Tungyun David Wu, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3978 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-672-4680 Fax: 260-458-5836
Dr. Gregory Paul Kniss, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9318 Airport Dr, Fort Wayne, IN 46809 Phone: 260-373-9330 Fax: 260-373-9340

Dr Omotayo Temitope Fawibe, MD - Medicare Preventive Medicine in Fort Wayne, IN