Fatai Adeshina Popoola, LGSW,LADC in Saint Paul, MN

Fatai Adeshina Popoola, LGSW,LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Saint Paul, Minnesota. His current practice location is 625 Snelling Ave N, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 214-0975.

Fatai Adeshina Popoola is licensed to practice in Minnesota (license number 303521) 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 1174035331.

Contact Information

	Fatai Adeshina Popoola, LGSW,LADC
	625 Snelling Ave N, Saint Paul, MN 55104-2878
	(651) 214-0975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fatai Adeshina Popoola
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	625 Snelling Ave N, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174035331
Provider Enumeration Date: 10/27/2017
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0446624225
Enrollment ID: I20230317000385

Medical Identifiers

Medical identifiers for Fatai Adeshina Popoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174035331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	303521 (Minnesota)	Primary
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	24938 (Minnesota)	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. Fatai Adeshina Popoola allows following entities to bill medicare on his behalf.

Entity Name	Amazing Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750043410 PECOS PAC ID: 0941687586 Enrollment ID: O20220519001891

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. Fatai Adeshina Popoola 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
Fatai Adeshina Popoola, LGSW,LADC 8628 Platinum Cv, Woodbury, MN 55129-7559 Ph: (651) 214-0975	Fatai Adeshina Popoola, LGSW,LADC 625 Snelling Ave N, Saint Paul, MN 55104-2878 Ph: (651) 214-0975

Reviews and Comments

Counselor in Saint Paul, MN

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Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219

Fatai Adeshina Popoola, LGSW,LADC - Medicare Counselor in Saint Paul, MN