Mr Olufemi Olawale Fanusi, in Stonecrest, GA - Medicare Nurse Practitioner

Mr Olufemi Olawale Fanusi, is a medicare enrolled "Nurse Practitioner - Family" in Stonecrest, Georgia. His current practice location is 4202 Kensington Cir, Stonecrest, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 680-9209.

Mr Olufemi Olawale Fanusi is licensed to practice in Georgia (license number RN285470) 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 1003561705.

Contact Information

	Mr Olufemi Olawale Fanusi,
	4202 Kensington Cir, Stonecrest, GA 30038-3239
	(678) 680-9209
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Olufemi Olawale Fanusi
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4202 Kensington Cir, Stonecrest, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003561705
Provider Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4284015215
Enrollment ID: I20220721001872

Medical Identifiers

Medical identifiers for Mr Olufemi Olawale Fanusi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003561705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN285470 (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. Mr Olufemi Olawale Fanusi allows following entities to bill medicare on his behalf.

Entity Name	Resurgia Health Solutions Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851702153 PECOS PAC ID: 2668699760 Enrollment ID: O20140813002730

Entity Name	Agape Chronic Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982153359 PECOS PAC ID: 2365708955 Enrollment ID: O20171115001139

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. Mr Olufemi Olawale Fanusi 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
Mr Olufemi Olawale Fanusi, 4202 Kensington Cir, Stonecrest, GA 30038-3239 Ph: (678) 680-9209	Mr Olufemi Olawale Fanusi, 4202 Kensington Cir, Stonecrest, GA 30038-3239 Ph: (678) 680-9209

Reviews and Comments

Nurse Practitioner Nurses in Stonecrest, GA

Ms. Andrea Roche Gayden, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8225 Mall Pkwy Ste 100, Stonecrest, GA 30038 Phone: 770-981-2100
Mrs. Colette Hemmings, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7607 Shady Maple Way, Stonecrest, GA 30038 Phone: 470-564-8483
Chinyeaka Linda Ogbonna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3682 Pebble Street, Stonecrest, GA 30038 Phone: 404-384-3044
Trinity Barnes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6406 Shalks Crossing Dr, Stonecrest, GA 30058 Phone: 203-444-7824

Mr Olufemi Olawale Fanusi, - Medicare Nurse Practitioner in Stonecrest, GA