Omobola Fashola, in Sylmar, CA - Medicare Registered Nurse

Omobola Fashola, is a medicare enrolled "Registered Nurse" in Sylmar, California. Her current practice location is 14445 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at (747) 210-4341.

Omobola Fashola is licensed to practice in California (license number 644419) 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 1801488192.

Contact Information

	Omobola Fashola,
	14445 Olive View Dr, Sylmar, CA 91342-1437
	(747) 210-4341
	Not Available

Map and Direction

Provider's Profile

Full Name	Omobola Fashola
Gender	Female
Speciality	Registered Nurse
Location	14445 Olive View Dr, Sylmar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801488192
Provider Enumeration Date: 02/08/2021
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7416310479
Enrollment ID: I20230824001238

Medical Identifiers

Medical identifiers for Omobola Fashola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801488192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022795 (California)	Secondary
163W00000X	Registered Nurse	644419 (California)	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. Omobola Fashola allows following entities to bill medicare on her behalf.

Entity Name	Mehboob Makhani Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578835724 PECOS PAC ID: 9133387442 Enrollment ID: O20120215000969

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. Omobola Fashola 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
Omobola Fashola, 14659 Olive View Dr, Sylmar, CA 91342-1652 Ph: (818) 485-0864	Omobola Fashola, 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-4341

Reviews and Comments

Registered Nurse Nurses in Sylmar, CA

Aleli Francesca Paez, Registered Nurse Medicare: Medicare Enrolled Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0888
Martha E Enamorado, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3676
Mahnaz Hassanvan, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr Rm 2b182, Sylmar, CA 91342 Phone: 818-364-3205
Stacy Howard Prindle, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0868
Cristina Robles, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-4680 Fax: 747-210-4682
Nerissa Redada, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3538
Miss Jay Redada, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3125

Omobola Fashola, - Medicare Registered Nurse in Sylmar, CA