Opeolu 0 Fawole, in Blue Ash, OH - Medicare Nurse Practitioner

Opeolu 0 Fawole, is a medicare enrolled "Nurse Practitioner" in Blue Ash, Ohio. Her current practice location is 10999 Reed Hartman Hwy Ste 210, Blue Ash, Ohio. You can reach out to her office (for appointments etc.) via phone at (678) 855-1226.

Opeolu 0 Fawole is licensed to practice in Ohio (license number APRN.CNP.0029316) 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 1831546472.

Contact Information

	Opeolu 0 Fawole,
	10999 Reed Hartman Hwy Ste 210, Blue Ash, OH 45242-8301
	(678) 855-1226
	Not Available

Map and Direction

Provider's Profile

Full Name	Opeolu 0 Fawole
Gender	Female
Speciality	Nurse Practitioner
Location	10999 Reed Hartman Hwy Ste 210, Blue Ash, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831546472
Provider Enumeration Date: 05/23/2016
Last Update Date: 07/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0244608172
Enrollment ID: I20221123002133

Medical Identifiers

Medical identifiers for Opeolu 0 Fawole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831546472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	364055 (Ohio)	Secondary
363L00000X	Nurse Practitioner	APRN.CNP.0029316 (Ohio)	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. Opeolu 0 Fawole allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967

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. Opeolu 0 Fawole 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
Opeolu 0 Fawole, 10999 Reed Hartman Hwy Ste 210, Blue Ash, OH 45242-8301 Ph: (678) 855-1226	Opeolu 0 Fawole, 10999 Reed Hartman Hwy Ste 210, Blue Ash, OH 45242-8301 Ph: (678) 855-1226

Reviews and Comments

Nurse Practitioner Nurses in Blue Ash, OH

Karen Lane, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4243 Hunt Rd, Blue Ash, OH 45242 Phone: 513-535-5567
Mrs. Samantha Braun, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 Malsbary Rd, Blue Ash, OH 45242 Phone: 513-751-2273 Fax: 513-751-1848
Ramie Jacqueline Allison, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242 Phone: 833-358-2036
Jennifer Macrae, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10653 Techwoods Cir Ste 101, Blue Ash, OH 45242 Phone: 513-956-3200
Annie Longenecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242 Phone: 833-358-2036
Mrs. Amanda Lauren Kennedy, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11690 Grooms Rd, Blue Ash, OH 45242 Phone: 513-917-9697
Adwoa Addo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Ashwood Dr Ste 200, Blue Ash, OH 45241 Phone: 800-989-7337

Opeolu 0 Fawole, - Medicare Nurse Practitioner in Blue Ash, OH