Olasumbo Fadiya, RN - Medicare Nurse Practitioner in Mattapan, MA

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Olasumbo Fadiya, RN is a medicare enrolled "Nurse Practitioner - Adult Health" in Mattapan, Massachusetts. Her current practice location is 7 Cragmere Ter, Apt. #1, Mattapan, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 407-5875.

Olasumbo Fadiya is licensed to practice in Massachusetts (license number RN261159) 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 1033656160.

Contact Information

Olasumbo Fadiya, RN
7 Cragmere Ter, Apt. #1,
Mattapan, MA 02126-2508
(617) 407-5875
Not Available

Map and Direction




Provider's Profile

Full NameOlasumbo Fadiya
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location7 Cragmere Ter, Mattapan, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033656160
  • Provider Enumeration Date: 01/26/2017
  • Last Update Date: 11/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9234491978
  • Enrollment ID: I20180316002153

Medical Identifiers

Medical identifiers for Olasumbo Fadiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033656160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN261159 (Massachusetts)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. Olasumbo Fadiya allows following entities to bill medicare on her behalf.
Entity NameIpc Hospitalists Of New England Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659555266
PECOS PAC ID: 7618051442
Enrollment ID: O20080303000565
Entity NameMassachusetts Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306134812
PECOS PAC ID: 9234303082
Enrollment ID: O20111114000448
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20211103001058

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. Olasumbo Fadiya 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
Olasumbo Fadiya, RN
7 Cragmere Ter, Apt. #1,
Mattapan, MA 02126-2508

Ph: (617) 407-5875		Olasumbo Fadiya, RN
7 Cragmere Ter, Apt. #1,
Mattapan, MA 02126-2508

Ph: (617) 407-5875

Reviews and Comments


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Laura L. Stanley, NP
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Phone: 617-533-2400    Fax: 617-533-2401
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Phone: 617-898-9057    Fax: 617-296-5408

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.