Moses O Olatunji, MD | |
11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | |
(260) 672-4000 | |
(260) 672-6459 |
Full Name | Moses O Olatunji |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 11115 Parkview Plaza Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497996425 | NPI | - | NPPES |
036087242 | Medicaid | IL | |
000000641381 | Other | IN | ANTHEM |
200937490 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01069915A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01066506A (Indiana) | Primary |
Entity Name | Parkview Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
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Moses O Olatunji, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Moses O Olatunji, MD 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 672-4000 |
Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459 | |
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763 | |
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007 | |
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337 | |
Osita Victor Ezeakudo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825 Phone: 260-432-4913 Fax: 260-969-6832 | |
Dr. Michael Philip Dick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3898 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5750 Fax: 260-425-5755 | |
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420 |