Olabisi Fashuyi Fafore, in Winder, GA - Medicare Nurse Practitioner

Olabisi Fashuyi Fafore, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winder, Georgia. Her current practice location is 367 Resource Pkwy, Winder, Georgia. You can reach out to her office (for appointments etc.) via phone at (612) 227-4763.

Olabisi Fashuyi Fafore is licensed to practice in Georgia (license number RN297527) 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 1841017944.

Contact Information

	Olabisi Fashuyi Fafore,
	367 Resource Pkwy, Winder, GA 30680-8364
	(612) 227-4763
	Not Available

Map and Direction

Provider's Profile

Full Name	Olabisi Fashuyi Fafore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	367 Resource Pkwy, Winder, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841017944
Provider Enumeration Date: 09/21/2024
Last Update Date: 05/07/2025

Medicare PECOS Information:

PECOS PAC ID: 0244750792
Enrollment ID: I20250227000740

Medical Identifiers

Medical identifiers for Olabisi Fashuyi Fafore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841017944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ15240800 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN297527 (Georgia)	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. Olabisi Fashuyi Fafore allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110

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. Olabisi Fashuyi Fafore 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
Olabisi Fashuyi Fafore, 1183 Lanier Springs Dr, Buford, GA 30518-7272 Ph: (612) 227-4763	Olabisi Fashuyi Fafore, 367 Resource Pkwy, Winder, GA 30680-8364 Ph: (612) 227-4763

Reviews and Comments

Nurse Practitioner Nurses in Winder, GA

Ronald James Mirenda, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 299 N Broad St, Winder, GA 30680 Phone: 770-867-2120 Fax: 770-867-2140
Dr. Kelsey Nipper, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 561 Jefferson Hwy, Winder, GA 30680 Phone: 770-867-7616
Brendalyne Facia Tamba, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 361 Resource Pkwy, Winder, GA 30680 Phone: 770-291-0419 Fax: 240-348-8500
Jordan Leigh Thackston, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Amherst Dr, Winder, GA 30680 Phone: 470-900-4368
Rachelle Lea Gilmore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 W Athens St, Winder, GA 30680 Phone: 770-867-6633
Mrs. Jessica Rose Gallacher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 N Broad St, Winder, GA 30680 Phone: 770-307-5348
Clara Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 W Candler St, Winder, GA 30680 Phone: 404-482-1944

Olabisi Fashuyi Fafore, - Medicare Nurse Practitioner in Winder, GA