Mrs Olayinka Sangoyomi, FNP in Fayetteville, GA

Mrs Olayinka Sangoyomi, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Georgia. Her current practice location is 230 Annelle Park Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (303) 246-3417.

Mrs Olayinka Sangoyomi is licensed to practice in Georgia (license number F07210504) 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 1588337505.

Contact Information

	Mrs Olayinka Sangoyomi, FNP
	230 Annelle Park Dr, Fayetteville, GA 30215-2106
	(303) 246-3417
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Olayinka Sangoyomi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	230 Annelle Park Dr, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588337505
Provider Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 7113392614
Enrollment ID: I20230414002365

Medical Identifiers

Medical identifiers for Mrs Olayinka Sangoyomi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588337505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F07210504 (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. Mrs Olayinka Sangoyomi allows following entities to bill medicare on her behalf.

Entity Name	Georgia Nephrology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063422723 PECOS PAC ID: 4082606496 Enrollment ID: O20040402000838

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 Olayinka Sangoyomi 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 Olayinka Sangoyomi, FNP 230 Annelle Park Dr, Fayetteville, GA 30215-2106 Ph: (303) 246-3417	Mrs Olayinka Sangoyomi, FNP 230 Annelle Park Dr, Fayetteville, GA 30215-2106 Ph: (303) 246-3417

Reviews and Comments

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Mrs Olayinka Sangoyomi, FNP - Medicare Nurse Practitioner in Fayetteville, GA