Fatimat Olumayowa Olufunmilayo Agbojeyin, - Medicare Nurse Practitioner in Fayetteville, GA

Fatimat Olumayowa Olufunmilayo Agbojeyin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, Georgia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 105 Emerald Lake Ct, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 513-2868.

Fatimat Olumayowa Olufunmilayo Agbojeyin is licensed to practice in Georgia (license number 177491) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477189157.

Contact Information

Fatimat Olumayowa Olufunmilayo Agbojeyin,
105 Emerald Lake Ct,
Fayetteville, GA 30215-7748
(404) 513-2868
Not Available

Map and Direction




Provider's Profile

Full NameFatimat Olumayowa Olufunmilayo Agbojeyin
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location105 Emerald Lake Ct, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fatimat Olumayowa Olufunmilayo Agbojeyin graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1477189157
  • Provider Enumeration Date: 03/13/2020
  • Last Update Date: 03/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749696110
  • Enrollment ID: I20210309002738

Medical Identifiers

Medical identifiers for Fatimat Olumayowa Olufunmilayo Agbojeyin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477189157NPI-NPPES
12345678MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 177491 (Georgia)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. Fatimat Olumayowa Olufunmilayo Agbojeyin allows following entities to bill medicare on her behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameWillow Oak Community Behavioral Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881131860
PECOS PAC ID: 4981034097
Enrollment ID: O20200413002764
Entity NameMtrac Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467106153
PECOS PAC ID: 6002284320
Enrollment ID: O20221117001798

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. Fatimat Olumayowa Olufunmilayo Agbojeyin 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
Fatimat Olumayowa Olufunmilayo Agbojeyin,
105 Emerald Lake Ct,
Fayetteville, GA 30215-7748

Ph: (404) 513-2868
Fatimat Olumayowa Olufunmilayo Agbojeyin,
105 Emerald Lake Ct,
Fayetteville, GA 30215-7748

Ph: (404) 513-2868

Reviews and Comments


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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.