Dr Babatunde Olutade, MD | |
5903 Ridgewood Rd, Suite 340, Jackson, MS 39211-3700 | |
(601) 899-3340 | |
(601) 899-3343 |
Full Name | Dr Babatunde Olutade |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 43 Years |
Location | 5903 Ridgewood Rd, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316050750 | NPI | - | NPPES |
0119520 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 015731 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Isd Renal Inc | Jackson, MS | Dialysis facility |
Isd Renal Inc | Lexington, MS | Dialysis facility |
Isd Renal Inc | Jackson, MS | Dialysis facility |
Drg Home Therapies | Fayette, MS | Dialysis facility |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Merit Health Central | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversified Renal Group Llc | 6406815299 | 4 |
Entity Name | Diversified Renal Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184792038 PECOS PAC ID: 6406815299 Enrollment ID: O20041007000414 |
Mailing Address | Practice Location Address |
---|---|
Dr Babatunde Olutade, MD 5903 Ridgewood Rd, Suite 340, Jackson, MS 39211-3700 Ph: (601) 899-3340 | Dr Babatunde Olutade, MD 5903 Ridgewood Rd, Suite 340, Jackson, MS 39211-3700 Ph: (601) 899-3340 |
Graves Crawley Stubblefield Jr., M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |