Mr Ganiyu Adewale, is a medicare enrolled "Nurse Practitioner" physician in Falls Church, Virginia. His current practice location is
3300 Gallows Rd, Falls Church, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 776-4001.
Mr Ganiyu Adewale is licensed to practice in Virginia (license number 0024173701) 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 1992258628.
Physician's Profile
| Full Name | Mr Ganiyu Adewale |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 3300 Gallows Rd, Falls Church, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992258628
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597051409
- Enrollment ID: I20160901000380
Medical Identifiers
Medical identifiers for Mr Ganiyu Adewale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992258628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | R152787 (Maryland) | Secondary |
| 363L00000X | Nurse Practitioner | 0024173701 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ganiyu Adewale allows following entities to bill medicare on his behalf.
| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
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| Entity Name | Metro Infectious Disease Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20170105001987 |
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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. Mr Ganiyu Adewale 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 |
Mr Ganiyu Adewale, 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 | Mr Ganiyu Adewale, 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 |
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