Fatade Health And Medical Center is a medicare enrolled primary clinic (Clinic/center) in Bassett, Virginia. The current practice location for Fatade Health And Medical Center is 255 Riverside Dr, Bassett, Virginia. For appointments, you can reach them via phone at
(276) 627-8070. The mailing address for Fatade Health And Medical Center is 255 Riverside Dr, Bassett, Virginia and phone number is (276) 627-8070.
Fatade Health And Medical Center is licensed to practice in Virginia (license number 0102201991). The clinic also participates in the medicare program and its
NPI number is 1598883738. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(276) 627-8070.
Primary Care Clinic Profile
| Full Name | Fatade Health And Medical Center |
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| Speciality | Clinic/Center |
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| Location | 255 Riverside Dr, Bassett, Virginia |
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| Authorized Official Name and Position | Ayokunle Omotade Fatade (PRESIDENT) |
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| Authorized Official Contact | 8566278070 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fatade Health And Medical Center
255 Riverside Dr
Bassett
VA 24055-4299
Ph: (276) 627-8070 | Fatade Health And Medical Center
255 Riverside Dr
Bassett
VA 24055-4299
Ph: (276) 627-8070 |
NPI Details:
| NPI Number | 1598883738 |
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| Provider Enumeration Date | 03/26/2007 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4385748250 |
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| Medicare Enrollment ID | O20070402000710 |
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Medical Identifiers
Medical identifiers for Fatade Health And Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598883738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | 0102201991 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fatade Health And Medical Center acts as a billing entity for following providers:
| Provider Name | Ayokunle Omotade Fatade |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1518993120
PECOS PAC ID: 2365449923
Enrollment ID: I20070402000723 |
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