Dr Ademola Fawole, in Hershey, PA - Medicare Psychologist Provider

Dr Ademola Fawole, is a medicare enrolled "Psychologist" provider in Hershey, Pennsylvania. His current practice location is 513 W Chocolate Ave Ste 100, Hershey, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 810-1974.

Dr Ademola Fawole is licensed to practice in Pennsylvania (license number PS018734) 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 1871080358.

Contact Information

	Dr Ademola Fawole,
	513 W Chocolate Ave Ste 100, Hershey, PA 17033
	(717) 810-1974
	(717) 704-8476

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ademola Fawole
Gender	Male
Speciality	Psychologist
Location	513 W Chocolate Ave Ste 100, Hershey, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871080358
Provider Enumeration Date: 04/19/2018
Last Update Date: 08/14/2019

Medicare PECOS Information:

PECOS PAC ID: 7618216151
Enrollment ID: I20201020001618

Medical Identifiers

Medical identifiers for Dr Ademola Fawole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871080358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS018734 (Pennsylvania)	Primary
103T00000X	Psychologist	3565-57 (Wisconsin)	Secondary

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. Dr Ademola Fawole allows following entities to bill medicare on his behalf.

Entity Name	Joseph J. Peters Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023177144 PECOS PAC ID: 0749263697 Enrollment ID: O20040610001548

Entity Name	Equilibria Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225792872 PECOS PAC ID: 5698166783 Enrollment ID: O20211228001562

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. Dr Ademola 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
Dr Ademola Fawole, 2726 Maxwell St, Philadelphia, PA 19136-1017 Ph: (215) 939-0572	Dr Ademola Fawole, 513 W Chocolate Ave Ste 100, Hershey, PA 17033 Ph: (717) 810-1974

Reviews and Comments

Psychologist in Hershey, PA

Susan Lynn Calhoun, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 22 Northeast Dr, Hershey, PA 17033 Phone: 717-531-8338 Fax: 717-531-6250
Elizabeth S Miceli, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 905 W Governor Rd Ste 200, Hershey, PA 17033 Phone: 717-531-7235 Fax: 717-531-0067
Mary E Lott, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455
Dr. Nicholas Alexander Pappas, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 315 Townhouse, Hershey, PA 17033 Phone: 717-533-7575 Fax: 717-533-7575
Mrs. Triska Mcclellan, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 242 University Mnr E, Hershey, PA 17033 Phone: 208-339-3475
Nancy L Rogers, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 441 E Chocolate Ave, Hershey, PA 17033 Phone: 717-533-5311
Dr. Keely Hirsch, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 500 University Drive, Mc Ca410, Hershey, PA 17033 Phone: 800-243-1455

Dr Ademola Fawole, - Medicare Psychologist in Hershey, PA