Ms Fatima Ayodele Lah, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ajo, Arizona. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ajo Community Health Center and her current practice location is
410 N Malacate St, Ajo, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 387-5651.
Ms Fatima Ayodele Lah is licensed to practice in Arizona (license number 242454) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477053338.
Provider's Profile
| Full Name | Ms Fatima Ayodele Lah |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 410 N Malacate St, Ajo, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Fatima Ayodele Lah graduated from nursing school in 2020
NPI Data:
- NPI Number: 1477053338
- Provider Enumeration Date: 02/17/2018
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052782224
- Enrollment ID: I20231013003073
Medical Identifiers
Medical identifiers for Ms Fatima Ayodele Lah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477053338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP144807 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 242454 (Arizona) | Primary |
| 163W00000X | Registered Nurse | 883859 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ajo Community Health Center | 3476441866 | 11 |
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. Ms Fatima Ayodele Lah allows following entities to bill medicare on her behalf.
| Entity Name | Ajo Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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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. Ms Fatima Ayodele Lah 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 |
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Ms Fatima Ayodele Lah, FNP
410 N Malacate St,
Ajo, AZ 85321-2254
Ph: (832) 455-6678 | Ms Fatima Ayodele Lah, FNP
410 N Malacate St,
Ajo, AZ 85321-2253
Ph: (520) 387-5651 |
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