Dr Samuel O Fadare Jr, MD - Medicare Psychiatry in Gladstone, MO

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Dr Samuel O Fadare Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gladstone, Missouri. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Samuel O Fadare Md Pa and his current practice location is 5604 Ne Antioch Rd, Gladstone, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 372-1313.

Dr Samuel O Fadare Jr is licensed to practice in Missouri (license number 103939) 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 1184685802.

Contact Information

Dr Samuel O Fadare Jr, MD
5604 Ne Antioch Rd,
Gladstone, MO 64119-2327
(660) 372-1313
(660) 372-1339

Map and Direction




Physician's Profile

Full NameDr Samuel O Fadare Jr
GenderMale
SpecialityPsychiatry
Experience38 Years
Location5604 Ne Antioch Rd, Gladstone, Missouri
Accepts Medicare AssignmentsYes. 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 Samuel O Fadare Jr graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1184685802
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012914997
  • Enrollment ID: I20090211000649

Medical Identifiers

Medical identifiers for Dr Samuel O Fadare Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184685802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 04-24672 (Kansas)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 4301063006 (Michigan)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 90387 (Georgia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME157175 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 103939 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samuel O Fadare Md Pa30726155252

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 Samuel O Fadare Jr allows following entities to bill medicare on his behalf.
Entity NameSwope Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689760076
PECOS PAC ID: 5294644530
Enrollment ID: O20040416000940
Entity NameFamily Guidance Center For Behavioral Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932225141
PECOS PAC ID: 6800707571
Enrollment ID: O20040420000015
Entity NameSamuel O Fadare Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639287824
PECOS PAC ID: 3072615525
Enrollment ID: O20070301000301
Entity NameOak Hills Behavioral Health Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710544416
PECOS PAC ID: 5597192823
Enrollment ID: O20200227000422

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 Samuel O Fadare Jr 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 AddressPractice Location Address
Dr Samuel O Fadare Jr, MD
1513 Union Ave Ste 2500,
Moberly, MO 65270-9412

Ph: (660) 372-1313		Dr Samuel O Fadare Jr, MD
5604 Ne Antioch Rd,
Gladstone, MO 64119-2327

Ph: (660) 372-1313

Reviews and Comments


Psychiatry & Neurology Doctors in Gladstone, MO

Dr. Edmond Michael Young, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 305 Nw Englewood Ct #300, Gladstone, MO 64118
Phone: 816-453-7473    Fax: 816-453-1940
Dr. Deborah Ann Paarman, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 305 Nw Englewood Ct, Suite 300, Gladstone, MO 64118
Phone: 816-453-7473    Fax: 816-453-1940
Mr. David Ash, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 305 Nw Englewood Ct., Ste 300, Gladstone, MO 64118
Phone: 816-453-7473    Fax: 816-453-1940

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.