Dr Olusoji Derek Olakanpo, MD in Horseheads, NY

Dr Olusoji Derek Olakanpo, MD is a medicare enrolled "Pediatrics" physician in Horseheads, New York. His current practice location is 3344 Chambers Rd Ste 100, Horseheads, New York. You can reach out to his office (for appointments etc.) via phone at (607) 734-2264.

Dr Olusoji Derek Olakanpo is licensed to practice in Virginia (license number 0101255475) 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 1013354372.

Contact Information

	Dr Olusoji Derek Olakanpo, MD
	3344 Chambers Rd Ste 100, Horseheads, NY 14845-1403
	(607) 734-2264
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Olusoji Derek Olakanpo
Gender	Male
Speciality	Pediatrics
Location	3344 Chambers Rd Ste 100, Horseheads, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013354372
Provider Enumeration Date: 05/28/2013
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9436451572
Enrollment ID: I20210311002001

Medical Identifiers

Medical identifiers for Dr Olusoji Derek Olakanpo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013354372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD042002 (District Of Columbia)	Secondary
208000000X	Pediatrics	16557 (New Hampshire)	Secondary
208000000X	Pediatrics	D0076470 (Maryland)	Secondary
208000000X	Pediatrics	052193 (Connecticut)	Secondary
208000000X	Pediatrics	0101255475 (Virginia)	Primary

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 Olusoji Derek Olakanpo allows following entities to bill medicare on his behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

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 Olusoji Derek Olakanpo 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 Olusoji Derek Olakanpo, MD Guthrie Southern Tier Pediatrics, 3344 Chambers Rd #200, Horseheads, NY 14845-2925 Ph: (607) 734-2264	Dr Olusoji Derek Olakanpo, MD 3344 Chambers Rd Ste 100, Horseheads, NY 14845-1403 Ph: (607) 734-2264

Reviews and Comments

Pediatrics Doctors in Horseheads, NY

Dr. Ravi Raj Kavuda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 John Roemmelt Dr Ste 203, Horseheads, NY 14845 Phone: 607-481-2059 Fax: 607-367-5007
Alan B Roessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932
Dr. Eileen M Reardon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2778 Westinghouse Rd, Horseheads, NY 14845 Phone: 607-739-1076
John Juriga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932
Amy L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-767-0340
Dr. Tina Marie Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932

Dr Olusoji Derek Olakanpo, MD - Medicare Pediatrics in Horseheads, NY