Olabisi Fashuyi Fafore, in Johns Creek, GA - Medicare Nurse Practitioner

Olabisi Fashuyi Fafore, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Johns Creek, Georgia. Her current practice location is 11340 Lakefield Dr, Johns Creek, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 242-6344.

Olabisi Fashuyi Fafore is licensed to practice in New Jersey (license number 26NJ15240800) 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,
	11340 Lakefield Dr, Johns Creek, GA 30097-1714
	(470) 242-6344
	Not Available

Map and Direction

Provider's Profile

Full Name	Olabisi Fashuyi Fafore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11340 Lakefield Dr, Johns Creek, 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: 08/20/2025

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	RN297527 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ15240800 (New Jersey)	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, 11340 Lakefield Dr, Johns Creek, GA 30097-1714 Ph: (470) 242-6344

Reviews and Comments

Nurse Practitioner Nurses in Johns Creek, GA

Minh Anh T Nguyen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Laurel Springs Pkwy Ste 1401, Johns Creek, GA 30024 Phone: 678-208-0165
Hannah Livingston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11758 Jones Bridge Rd, Johns Creek, GA 30005 Phone: 770-772-1830
Mosesal Zakia White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 Phone: 770-389-9116
Mrs. Ashley Renee Cason, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097 Phone: 334-464-0613
Reagan O'connor, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11705 Jones Bridge Rd, A201, Johns Creek, GA 30005 Phone: 770-772-1830
Miss Jena Louise Jaragoski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste 110, Johns Creek, GA 30097 Phone: 404-778-8240
Tarannum Rupani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5468 Cameron Parc Dr, Johns Creek, GA 30022 Phone: 404-642-4612

Olabisi Fashuyi Fafore, - Medicare Nurse Practitioner in Johns Creek, GA