Dr Taliat Abiodun Fawole, MD in Elmhurst, NY - Medicare Psychiatry & Neurology

Dr Taliat Abiodun Fawole, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Elmhurst, New York. His current practice location is 7901 Broadway, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (718) 334-3542.

Dr Taliat Abiodun Fawole is licensed to practice in Nebraska (license number 33663) 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 1255795886.

Contact Information

	Dr Taliat Abiodun Fawole, MD
	7901 Broadway, Elmhurst, NY 11373-1329
	(718) 334-3542
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Taliat Abiodun Fawole
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	7901 Broadway, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255795886
Provider Enumeration Date: 04/09/2016
Last Update Date: 07/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2961740063
Enrollment ID: I20210714002477

Medical Identifiers

Medical identifiers for Dr Taliat Abiodun Fawole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255795886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	33663 (Nebraska)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(Texas)	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 Taliat Abiodun Fawole allows following entities to bill medicare on his behalf.

Entity Name	Alegent Creighton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033288923 PECOS PAC ID: 1850285255 Enrollment ID: O20040326000802

Entity Name	Charles Drew Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255302170 PECOS PAC ID: 9830170653 Enrollment ID: O20040527000621

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 Taliat Abiodun Fawole 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 Taliat Abiodun Fawole, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-3542	Dr Taliat Abiodun Fawole, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-3542

Reviews and Comments

Psychiatry & Neurology Doctors in Elmhurst, NY

Dr. Martin Holiday Maurer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958
Dipak Nandi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4142 Elbertson St, 102, Elmhurst, NY 11373 Phone: 718-505-1300 Fax: 718-505-1883
David Yohai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1 9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Dr. Anthony Chih Duong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-344-3512 Fax: 718-334-5006
Dr. Charles Thomas Barron, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958
Emmanuelle J Duterte, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-334-3501 Fax: 718-334-5006
Dr. Anna J Holmgren, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958

Dr Taliat Abiodun Fawole, MD - Medicare Psychiatry & Neurology in Elmhurst, NY