Mr Olumide Isaac Famojuro, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Freeport, NY

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Mr Olumide Isaac Famojuro, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Freeport, New York. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Maple Gate Anesthesiologists, P.c. and his current practice location is 83 Van Buren St, Freeport, New York. You can reach out to his office (for appointments etc.) via phone at (347) 837-9177.

Mr Olumide Isaac Famojuro is licensed to practice in New York (license number 133988) 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 1972060283.

Contact Information

Mr Olumide Isaac Famojuro, RN
83 Van Buren St,
Freeport, NY 11520-6226
(347) 837-9177
Not Available

Map and Direction




Provider's Profile

Full NameMr Olumide Isaac Famojuro
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location83 Van Buren St, Freeport, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Olumide Isaac Famojuro graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1972060283
  • Provider Enumeration Date: 02/22/2019
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739592304
  • Enrollment ID: I20201229001714

Medical Identifiers

Medical identifiers for Mr Olumide Isaac Famojuro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972060283NPI-NPPES
132400594OtherNYDRIVERS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WS0200XRegistered Nurse - School 661135 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 133988 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaleida HealthBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maple Gate Anesthesiologists, P.c.8022913839130

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 Olumide Isaac Famojuro allows following entities to bill medicare on his behalf.
Entity NameMaple Gate Anesthesiologists, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528072709
PECOS PAC ID: 8022913839
Enrollment ID: O20031204000851
Entity NameLong Island Anesthesia Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952387276
PECOS PAC ID: 7113825381
Enrollment ID: O20040106000103
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569
Entity NameUpstate Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629272141
PECOS PAC ID: 0840383857
Enrollment ID: O20070907000237
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447008446
PECOS PAC ID: 4385924091
Enrollment ID: O20161214001586
Entity NameSedation Vacation Perioperative Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891235404
PECOS PAC ID: 1759658594
Enrollment ID: O20170525001955
Entity NameCenturion Midtown Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750087854
PECOS PAC ID: 2567804669
Enrollment ID: O20240521002273

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 Olumide Isaac Famojuro 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 AddressPractice Location Address
Mr Olumide Isaac Famojuro, RN
83 Van Buren St,
Freeport, NY 11520-6226

Ph: (347) 837-9177		Mr Olumide Isaac Famojuro, RN
83 Van Buren St,
Freeport, NY 11520-6226

Ph: (347) 837-9177

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Freeport, NY

Mr. Steven Assifuah, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 172 Saint Marks Ave, Freeport, NY 11520
Phone: 516-469-8036    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.