| Dr Omofolarin Babatunji Fasuyi, MD, MPH | |
|
1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 | |
| (573) 458-6326 | |
| Not Available |
| Full Name | Dr Omofolarin Babatunji Fasuyi |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1605 Martin Springs Dr, Rolla, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104260090 | NPI | - | NPPES |
| 1104260090 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2016023338 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morehouse Healthcare, Inc. | 6002701273 | 135 |
| Entity Name | Morehouse Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omofolarin Babatunji Fasuyi, MD, MPH 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 Ph: (573) 458-6326 | Dr Omofolarin Babatunji Fasuyi, MD, MPH 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 Ph: (573) 458-6326 |
Rebecca Lynn Fryer Gordon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-8822 Fax: 573-202-2402 | |
Dr. Katie Elizabeth Hern, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401 Phone: 573-458-6350 Fax: 573-458-6764 | |
James Wyatt Eikermann, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-4455 | |
Dr. Randall G. Dudik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208 | |
Dr. Luther D. Spurlock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208 | |
Dr. Kimberly D. Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 734-262-4075 Fax: 573-426-6723 |