Omokorede Fatile, in Pikesville, MD - Medicare Nurse Practitioner

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 Name	Omokorede Fatile
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1515 Reisterstown Rd Ste 304, Pikesville, Maryland
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1275256992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R214086 (Maryland)	Primary
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	R214086 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	125356 (West Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024195935 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71017850A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	405486 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cnp Operating Co Llc	8325263734	74
Cnp Operating Co Llc	8325263734	74
Toller Enterprises, Llc	8628481926	63

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 Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Salus Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298

Entity Name	Integrahealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740049568 PECOS PAC ID: 3678911625 Enrollment ID: O20240410000064

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 Address	Practice Location Address
Omokorede Fatile, 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336 Ph: () -	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, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Walker Ave Ste 203, Pikesville, MD 21208 Phone: 443-898-9563 Fax: 443-354-4795
Michelle Kovacs, FNP-C Nurse Practitioner 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

Omokorede Fatile, - Medicare Nurse Practitioner in Pikesville, MD