Oluwole Fajolu, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Woodland Hills, California. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Anvar Medical Group, Skilled Facility Health Care Solutions Inc and his current practice location is
5601 De Soto Ave, Woodland Hills, California. You can reach out to his office (for appointments etc.) via phone at
(818) 719-2000.
Oluwole Fajolu is licensed to practice in California (license number A39634) 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 1376602953.
Physician's Profile
Full Name | Oluwole Fajolu |
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Gender | Male |
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Speciality | Thoracic Surgery |
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Experience | 55 Years |
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Location | 5601 De Soto Ave, Woodland Hills, California |
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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:
- Oluwole Fajolu graduated from medical school in 1969
NPI Data:
- NPI Number: 1376602953
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 09/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 4082800784
- Enrollment ID: I20101119000967
Medical Identifiers
Medical identifiers for Oluwole Fajolu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376602953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A39634 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Anvar Medical Group | 4284875451 | 6 |
Skilled Facility Health Care Solutions Inc | 9032299144 | 51 |
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. Oluwole Fajolu allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20080102000273 |
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Entity Name | Anvar Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072 |
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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. Oluwole Fajolu 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 |
Oluwole Fajolu, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000 | Oluwole Fajolu, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-2000 |
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