Temitope Adetola Fanimo, MD is a medicare enrolled "Otolaryngology" physician in Concord Township, Ohio. Her current practice location is
7580 Auburn Rd Ste 103, Concord Township, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 352-1474.
Temitope Adetola Fanimo is licensed to practice in Ohio (license number 35.154015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821625682.
Physician's Profile
Full Name | Temitope Adetola Fanimo |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | 7580 Auburn Rd Ste 103, Concord Township, Ohio |
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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: 1821625682
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547691545
- Enrollment ID: I20200506003292
Medical Identifiers
Medical identifiers for Temitope Adetola Fanimo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821625682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 35.154015 (Ohio) | Primary |
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. Temitope Adetola Fanimo 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 |
Temitope Adetola Fanimo, MD 3630 Lindholm Rd, Shaker Heights, OH 44120-5127 Ph: (708) 439-9490 | Temitope Adetola Fanimo, MD 7580 Auburn Rd Ste 103, Concord Township, OH 44077-9616 Ph: (440) 352-1474 |
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