Olufunmilayo Temitope Ajala, in Snellville, GA

Olufunmilayo Temitope Ajala, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Snellville, Georgia. Her current practice location is 2121 Fountain Dr Ste D, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 435-5341.

Olufunmilayo Temitope Ajala is licensed to practice in Georgia (license number RN222212) 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 1750033684.

Contact Information

	Olufunmilayo Temitope Ajala,
	2121 Fountain Dr Ste D, Snellville, GA 30078-2900
	(470) 435-5341
	Not Available

Map and Direction

Provider's Profile

Full Name	Olufunmilayo Temitope Ajala
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2121 Fountain Dr Ste D, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750033684
Provider Enumeration Date: 01/21/2022
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8628375904
Enrollment ID: I20240410000760

Medical Identifiers

Medical identifiers for Olufunmilayo Temitope Ajala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750033684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	RN222212 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN222212 (Georgia)	Primary
163WG0000X	Registered Nurse - General Practice	RN222212 (Georgia)	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. Olufunmilayo Temitope Ajala allows following entities to bill medicare on her behalf.

Entity Name	Abby Behavioral Health And Psychotherapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750061206 PECOS PAC ID: 4880032853 Enrollment ID: O20240410000730

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. Olufunmilayo Temitope Ajala 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
Olufunmilayo Temitope Ajala, 2121 Fountain Dr Ste D, Snellville, GA 30078-2900 Ph: (470) 435-5341	Olufunmilayo Temitope Ajala, 2121 Fountain Dr Ste D, Snellville, GA 30078-2900 Ph: (470) 435-5341

Reviews and Comments

Nurse Practitioner Nurses in Snellville, GA

Jason R Casey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201
Aneka Fawn Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Ln Ste 250, Snellville, GA 30078 Phone: 770-736-6300
Yovanie Jean-pierre, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2986 Elizabeth Ln, Snellville, GA 30078 Phone: 404-694-7588
Mrs. Katherine Evans Davis, RNC, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-876-7464
Tayana Buchanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 404-610-0205
Dr. Angella Samuels, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078 Phone: 770-248-1637 Fax: 770-248-1638
Shannon Maria Saroka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr Ste D, Snellville, GA 30078 Phone: 770-982-7790 Fax: 770-982-7795

Olufunmilayo Temitope Ajala, - Medicare Nurse Practitioner in Snellville, GA