| Mr Olumide Samson Fagbemi, NP | |
|
1118 Lucas St, Calumet City, IL 60409-2408 | |
| (708) 785-2238 | |
| Not Available |
| Full Name | Mr Olumide Samson Fagbemi |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1118 Lucas St, Calumet City, Illinois |
| 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 |
|---|---|---|---|
| 1013163765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.022296 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post Acute Medical, Pllc | 5193156115 | 141 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Olumide Samson Fagbemi, NP 1118 Lucas St, Calumet City, IL 60409-2408 Ph: (708) 785-2238 | Mr Olumide Samson Fagbemi, NP 1118 Lucas St, Calumet City, IL 60409-2408 Ph: (708) 785-2238 |
Idowu Florence Fapohunda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Warren St, Calumet City, IL 60409 Phone: 708-439-2145 Fax: 708-360-3238 | |
Janet Biedron, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 River Oaks Dr, Calumet City, IL 60409 Phone: 708-862-1290 Fax: 708-862-6447 | |
Oludele David Olagoke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 452 Muskegon Ave, Calumet City, IL 60409 Phone: 312-493-4996 | |
Tenisha Kates, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 Calhoun Ave, Calumet City, IL 60409 Phone: 708-368-2180 | |
Alethea Crystal Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 Torrence Ave, Calumet City, IL 60409 Phone: 800-323-8622 | |
Marisa A. Salazar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 Torrence Ave, Calumet City, IL 60409 Phone: 800-323-8622 Fax: 224-225-0388 |