Taiwo Adeblola Fubara, is a medicare enrolled "Nurse Practitioner - Family" physician in Dunn, North Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dunn Medical Services Llc and her current practice location is
803 Tilghman Dr Ste 100, Dunn, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 892-1091.
Taiwo Adeblola Fubara is licensed to practice in North Carolina (license number 5013965) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1518554617.
Physician's Profile
| Full Name | Taiwo Adeblola Fubara |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 803 Tilghman Dr Ste 100, Dunn, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Taiwo Adeblola Fubara graduated from medical school in 2019
NPI Data:
- NPI Number: 1518554617
- Provider Enumeration Date: 12/23/2020
- Last Update Date: 07/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698183168
- Enrollment ID: I20210421002902
Medical Identifiers
Medical identifiers for Taiwo Adeblola Fubara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518554617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F08200300 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5013965 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dunn Medical Services Llc | 3678757226 | 7 |
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. Taiwo Adeblola Fubara allows following entities to bill medicare on her behalf.
| Entity Name | Advance Community Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245223783
PECOS PAC ID: 3577471697
Enrollment ID: O20040824000695 |
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| Entity Name | Dunn Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184921843
PECOS PAC ID: 3678757226
Enrollment ID: O20110406000675 |
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| Entity Name | Eventus Wholehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281 |
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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. Taiwo Adeblola Fubara 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 |
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Taiwo Adeblola Fubara,
Po Box 40908,
Fayetteville, NC 28309-0908
Ph: (910) 615-6949 | Taiwo Adeblola Fubara,
803 Tilghman Dr Ste 100,
Dunn, NC 28334-6699
Ph: (910) 892-1091 |
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