Dr Oladepo Collins Fasoranti, MBBS in Coon Rapids, MN

Dr Oladepo Collins Fasoranti, MBBS is a medicare enrolled "Family Medicine" physician in Coon Rapids, Minnesota. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 587-9000.

Dr Oladepo Collins Fasoranti is licensed to practice in Georgia (license number 001220) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003939968.

Contact Information

	Dr Oladepo Collins Fasoranti, MBBS
	11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433-3746
	(763) 587-9000
	(763) 587-9130

Map and Direction

Physician's Profile

Full Name	Dr Oladepo Collins Fasoranti
Gender	Male
Speciality	Family Practice
Experience	34 Years
Location	11475 Robinson Drive Nw - Mailstop 32600a, Coon Rapids, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Oladepo Collins Fasoranti graduated from medical school in 1991

NPI Data:

NPI Number: 1003939968
Provider Enumeration Date: 04/07/2007
Last Update Date: 12/05/2011

Medicare PECOS Information:

PECOS PAC ID: 6406914795
Enrollment ID: I20240619000392

Medical Identifiers

Medical identifiers for Dr Oladepo Collins Fasoranti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003939968	NPI	-	NPPES
001220	Other	GA	RESIDENCY TRAINING PERMI
20787	Other	GA	HOSP. PHYSICIAN ID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	001220 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	658

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 Oladepo Collins Fasoranti allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Oladepo Collins Fasoranti 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 Oladepo Collins Fasoranti, MBBS 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375	Dr Oladepo Collins Fasoranti, MBBS 11475 Robinson Drive Nw - Mailstop 32600a, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433-3746 Ph: (763) 587-9000

Reviews and Comments

Family Medicine Doctors in Coon Rapids, MN

Mark H. Brakke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Kelly Ann Mcteague, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Alena V Marozava, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Rebecca May Mcdougle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130
Dr. Matthew Varner, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Emily Nicole Hicke, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

Dr Oladepo Collins Fasoranti, MBBS - Medicare Family Practice in Coon Rapids, MN