Oluwole Fasuba, PT in Irvington, NJ - Medicare Physical Therapist Provider

Oluwole Fasuba, PT is a medicare enrolled "Physical Therapist" provider in Irvington, New Jersey. His current practice location is 599-601 20th St Apt 3, Irvington, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 277-2536.

Oluwole Fasuba is licensed to practice in New York (license number 048748) 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 1376257030.

Contact Information

	Oluwole Fasuba, PT
	599-601 20th St Apt 3, Irvington, NJ 07111-4500
	(973) 277-2536
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Oluwole Fasuba
Gender	Male
Speciality	Physical Therapist
Location	599-601 20th St Apt 3, Irvington, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376257030
Provider Enumeration Date: 01/09/2023
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3577910595
Enrollment ID: I20231114000732

Medical Identifiers

Medical identifiers for Oluwole Fasuba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376257030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	048748 (New York)	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. Oluwole Fasuba allows following entities to bill medicare on his behalf.

Provider Name	Harlem Medical Associates, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005

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. Oluwole Fasuba 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
Oluwole Fasuba, PT 599-601 20th St Apt 3, Irvington, NJ 07111-4500 Ph: () -	Oluwole Fasuba, PT 599-601 20th St Apt 3, Irvington, NJ 07111-4500 Ph: (973) 277-2536

Reviews and Comments

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Oluwole Fasuba, PT - Medicare Physical Therapist in Irvington, NJ