Mrs Foluke Grace Fashakin, NURSE PRACTITIONER in Hempstead, NY

Mrs Foluke Grace Fashakin, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Hempstead, New York. Her current practice location is 107 Botsford St, Hempstead, New York. You can reach out to her office (for appointments etc.) via phone at (718) 710-7457.

Mrs Foluke Grace Fashakin is licensed to practice in New York (license number 352885) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003152539.

Contact Information

	Mrs Foluke Grace Fashakin, NURSE PRACTITIONER
	107 Botsford St, Hempstead, NY 11550-7328
	(718) 710-7457
	(516) 307-9858

Map and Direction

Provider's Profile

Full Name	Mrs Foluke Grace Fashakin
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	107 Botsford St, Hempstead, 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: 1003152539
Provider Enumeration Date: 01/03/2013
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0547703845
Enrollment ID: I20240614001586

Medical Identifiers

Medical identifiers for Mrs Foluke Grace Fashakin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003152539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	352885 (New York)	Primary
163W00000X	Registered Nurse	663572 (New York)	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. Mrs Foluke Grace Fashakin allows following entities to bill medicare on her behalf.

Entity Name	Bay Ridge Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245097989 PECOS PAC ID: 0244677789 Enrollment ID: O20240320002001

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. Mrs Foluke Grace Fashakin 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
Mrs Foluke Grace Fashakin, NURSE PRACTITIONER 107 Botsford St, Hempstead, NY 11550-7328 Ph: (718) 710-7457	Mrs Foluke Grace Fashakin, NURSE PRACTITIONER 107 Botsford St, Hempstead, NY 11550-7328 Ph: (718) 710-7457

Reviews and Comments

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Mrs Foluke Grace Fashakin, NURSE PRACTITIONER - Medicare Nurse Practitioner in Hempstead, NY