Dr Adesola Omotayo Fabayo, MD is a medicare enrolled "Anesthesiology" provider in Griffin, Georgia. He graduated from medical school in 1990 and has 36 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Riverdale Anesthesia Services Llc and his current practice location is
610 S 8th St, Suite F, Griffin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 228-8550.
Dr Adesola Omotayo Fabayo is licensed to practice in Georgia (license number 045782) 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 1265482285.
Healthcare Provider's Profile
| Full Name | Dr Adesola Omotayo Fabayo |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 36 Years |
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| Location | 610 S 8th St, Griffin, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adesola Omotayo Fabayo graduated from medical school in 1990
NPI Data:
- NPI Number: 1265482285
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092879049
- Enrollment ID: I20090205000544
Medical Identifiers
Medical identifiers for Dr Adesola Omotayo Fabayo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265482285 | NPI | - | NPPES |
| 000870669B | Medicaid | GA | |
| 00870669A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 45782 (Georgia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 045782 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | 045782 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Riverdale Anesthesia Services Llc | 2163952284 | 16 |
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. Dr Adesola Omotayo Fabayo allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Ambulatory Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775 |
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| Entity Name | Riverdale Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831910512
PECOS PAC ID: 2163952284
Enrollment ID: O20250205000376 |
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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. Dr Adesola Omotayo Fabayo 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 |
|---|
Dr Adesola Omotayo Fabayo, MD
610 S 8th St, Suite F,
Griffin, GA 30224-4201
Ph: (770) 228-8550 | Dr Adesola Omotayo Fabayo, MD
610 S 8th St, Suite F,
Griffin, GA 30224-4201
Ph: (770) 228-8550 |
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