Shola Philip Akinfiresoye, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Arlington, Texas. His current practice location is
4801 S Cooper St Ste 401, Arlington, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 813-7100.
Shola Philip Akinfiresoye is licensed to practice in Texas (license number AP134810) 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 1104339373.
Physician's Profile
Full Name | Shola Philip Akinfiresoye |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 4801 S Cooper St Ste 401, Arlington, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104339373
- Provider Enumeration Date: 11/10/2017
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234462953
- Enrollment ID: I20201103002434
Medical Identifiers
Medical identifiers for Shola Philip Akinfiresoye such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104339373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | AP134810 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP134810 (Texas) | Primary |
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. Shola Philip Akinfiresoye allows following entities to bill medicare on his behalf.
Entity Name | Glc Wellness Center Texas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700433653 PECOS PAC ID: 0143658906 Enrollment ID: O20200310002430 |
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Entity Name | Mainspring Family Care Llc / Mainspring Family Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619583754 PECOS PAC ID: 9436569456 Enrollment ID: O20201103001806 |
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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. Shola Philip Akinfiresoye 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 |
Shola Philip Akinfiresoye, DNP, FNP-BC 2024 Limestone Dr, Grand Prairie, TX 75052-2693 Ph: (405) 549-2249 | Shola Philip Akinfiresoye, DNP, FNP-BC 4801 S Cooper St Ste 401, Arlington, TX 76017-5963 Ph: (817) 813-7100 |
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