Olukayode Fasuba, - Medicare Physical Medicine & Rehabilitation in Matthews, NC

Olukayode Fasuba, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Matthews, North Carolina. His current practice location is 6030 Harkey Rd Apt 8201, Matthews, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 347-1595.

Olukayode Fasuba is licensed to practice in North Carolina (license number P17780) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720651649.

Contact Information

Olukayode Fasuba,
6030 Harkey Rd Apt 8201,
Matthews, NC 28105-5962
(252) 347-1595
Not Available



Physician's Profile

Full NameOlukayode Fasuba
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location6030 Harkey Rd Apt 8201, Matthews, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720651649
  • Provider Enumeration Date: 07/19/2021
  • Last Update Date: 07/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860865847
  • Enrollment ID: I20230223000186

Medical Identifiers

Medical identifiers for Olukayode Fasuba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720651649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation P17780 (North Carolina)Primary

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. Olukayode Fasuba 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
Olukayode Fasuba,
6030 Harkey Rd Apt 8201,
Matthews, NC 28105-5962

Ph: (252) 347-1595
Olukayode Fasuba,
6030 Harkey Rd Apt 8201,
Matthews, NC 28105-5962

Ph: (252) 347-1595

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Physical Medicine & Rehabilitation Doctors in Matthews, NC

Dr. Ronald Vandernoord, MD
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