Omokorede Fatile, in Pikesville, MD - Medicare Nurse Practitioner

Omokorede Fatile, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pikesville, Maryland. His current practice location is 1515 Reisterstown Rd Ste 304, Pikesville, Maryland. You can reach out to his office (for appointments etc.) via phone at (718) 749-4346.

Omokorede Fatile is licensed to practice in Maryland (license number R214086) 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 1275256992.

Contact Information

	Omokorede Fatile,
	1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336
	(718) 749-4346
	Not Available

Map and Direction

Provider's Profile

Full Name	Omokorede Fatile
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1515 Reisterstown Rd Ste 304, Pikesville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275256992
Provider Enumeration Date: 09/20/2022
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7113380866
Enrollment ID: I20230828003136

Medical Identifiers

Medical identifiers for Omokorede Fatile such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275256992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	R214086 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R214086 (Maryland)	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. Omokorede Fatile allows following entities to bill medicare on his behalf.

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Salus Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298

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. Omokorede Fatile 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
Omokorede Fatile, 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336 Ph: () -	Omokorede Fatile, 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336 Ph: (718) 749-4346

Reviews and Comments

Nurse Practitioner Nurses in Pikesville, MD

Mr. David Berman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1838 Greene Tree Rd, Suiote 535, Pikesville, MD 21208 Phone: 410-469-4000 Fax: 410-653-1296
Dr. Blanche Cefora Kattie, DNP, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Old Court Rd, Pikesville, MD 21208 Phone: 443-898-8282
Michelle Kovacs, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3416 Midfield Rd, Pikesville, MD 21208 Phone: 443-326-9001
Ms. Christiana N Ikome, NP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Reisterstown Rd Ste 302, Pikesville, MD 21208 Phone: 301-792-1433 Fax: 443-241-7250
Mrs. Katie Pink Tolley, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Sudbrook Ln, Pikesville, MD 21208 Phone: 443-424-7846
Christine L Manko, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd Ste 225a, Pikesville, MD 21208 Phone: 443-471-0470 Fax: 410-584-1884
Mr. Tom Dennis Gates Ii, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Reisterstown Rd Ste 201, Pikesville, MD 21208 Phone: 301-955-9812 Fax: 301-955-9813

Omokorede Fatile, - Medicare Nurse Practitioner in Pikesville, MD