Dr Rahaman Olatunji Suara, MD is a medicare enrolled "Pediatrics" physician in Bolivar, Tennessee. His current practice location is
629 Nuckolls Rd, Bolivar, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 658-3388.
Dr Rahaman Olatunji Suara is licensed to practice in Tennessee (license number 35933) 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 1336123009.
Physician's Profile
Full Name | Dr Rahaman Olatunji Suara |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 629 Nuckolls Rd, Bolivar, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336123009
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 08/07/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557557139
- Enrollment ID: I20101122000506
Medical Identifiers
Medical identifiers for Dr Rahaman Olatunji Suara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336123009 | NPI | - | NPPES |
3870746 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35933 (Tennessee) | Primary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 35933 (Tennessee) | Secondary |
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 Rahaman Olatunji Suara allows following entities to bill medicare on his behalf.
Entity Name | United Neighborhood Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750723029 PECOS PAC ID: 0042100091 Enrollment ID: O20040323001640 |
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Entity Name | Hardeman County Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861468340 PECOS PAC ID: 5799694147 Enrollment ID: O20040615001290 |
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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 Rahaman Olatunji Suara 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 Rahaman Olatunji Suara, MD 725 Clifftview Rd, Bolivar, TN 38008-8323 Ph: (731) 658-8900 | Dr Rahaman Olatunji Suara, MD 629 Nuckolls Rd, Bolivar, TN 38008-1599 Ph: (731) 658-3388 |
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