Omokorede Fatile, - Medicare Nurse Practitioner in Pikesville, MD

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Omokorede Fatile, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pikesville, Maryland. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cnp Operating Co Llc, Cnp Operating Co Llc, Toller Enterprises, Llc and his current practice location is 1515 Reisterstown Rd Ste 304, Pikesville, Maryland. You can reach out to his office (for appointments etc.) via phone at (718) 749-4346.

Omokorede Fatile is licensed to practice in Maryland (license number R214086) 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 1275256992.

Contact Information

Omokorede Fatile,
1515 Reisterstown Rd Ste 304,
Pikesville, MD 21208-4336
(718) 749-4346
Not Available

Map and Direction




Provider's Profile

Full NameOmokorede Fatile
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location1515 Reisterstown Rd Ste 304, Pikesville, Maryland
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:
  • Omokorede Fatile graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1275256992
  • Provider Enumeration Date: 09/20/2022
  • Last Update Date: 06/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113380866
  • Enrollment ID: I20230828003136

Medical Identifiers

Medical identifiers for Omokorede Fatile such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275256992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R214086 (Maryland)Primary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult R214086 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 125356 (West Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024195935 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71017850A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 405486 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cnp Operating Co Llc832526373463
Cnp Operating Co Llc832526373463
Toller Enterprises, Llc862848192663

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. Omokorede Fatile allows following entities to bill medicare on his behalf.
Entity NameCnp Operating Co LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518386739
PECOS PAC ID: 8325263734
Enrollment ID: O20201008000008
Entity NameToller Enterprises, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821697533
PECOS PAC ID: 8628481926
Enrollment ID: O20210105002952
Entity NameSalus Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285244004
PECOS PAC ID: 8123436540
Enrollment ID: O20210422002298
Entity NameBrightside Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801355482
PECOS PAC ID: 6608262464
Enrollment ID: O20230526001102
Entity NameIntegrahealth LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740049568
PECOS PAC ID: 3678911625
Enrollment ID: O20240410000064
Entity NamePA Post Acute Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255057063
PECOS PAC ID: 7911374905
Enrollment ID: O20240417004152
Entity NameImisio Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902768104
PECOS PAC ID: 7517444789
Enrollment ID: O20260119000739

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. Omokorede Fatile 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
Omokorede Fatile,
1515 Reisterstown Rd Ste 304,
Pikesville, MD 21208-4336

Ph: Not Available		Omokorede Fatile,
1515 Reisterstown Rd Ste 304,
Pikesville, MD 21208-4336

Ph: (718) 749-4346

Reviews and Comments


Nurse Practitioner Nurses in Pikesville, MD

Dr. Blanche Cefora Kattie, DNP, FNP-BC, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Old Court Rd, Pikesville, MD 21208
Phone: 443-898-8282    
Beauty Kevwe Nwamoh,
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Practice Location: 19 Walker Ave Ste 203, Pikesville, MD 21208
Phone: 443-898-9563    Fax: 443-354-4795
Michelle Kovacs, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3416 Midfield Rd, Pikesville, MD 21208
Phone: 443-326-9001    
Ms. Christiana N Ikome, NP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 Reisterstown Rd Ste 302, Pikesville, MD 21208
Phone: 301-792-1433    Fax: 443-241-7250
Mrs. Katie Pink Tolley, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16 Sudbrook Ln, Pikesville, MD 21208
Phone: 443-424-7846    
Kim Nickole Grady,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Chudleigh Ct, Pikesville, MD 21208
Phone: 443-226-0418    
Christine L Manko, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1838 Greene Tree Rd Ste 225a, Pikesville, MD 21208
Phone: 443-471-0470    Fax: 410-584-1884

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.