Mr Lewis Lateef Olaoluwa, APRN is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Melville, New York. His current practice location is
68 S Service Rd Ste 350, Melville, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 945-3000.
Mr Lewis Lateef Olaoluwa is licensed to practice in Maryland (license number AC003681) 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 1659924355.
Physician's Profile
Full Name | Mr Lewis Lateef Olaoluwa |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 68 S Service Rd Ste 350, Melville, New York |
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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: 1659924355
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931524352
- Enrollment ID: I20200803000715
Medical Identifiers
Medical identifiers for Mr Lewis Lateef Olaoluwa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659924355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | AC003681 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AC003681 (Maryland) | 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. Mr Lewis Lateef Olaoluwa allows following entities to bill medicare on his behalf.
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
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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. Mr Lewis Lateef Olaoluwa 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 |
Mr Lewis Lateef Olaoluwa, APRN 6015 New Forest Ct Apt 7, Waldorf, MD 20603-4735 Ph: (678) 357-5790 | Mr Lewis Lateef Olaoluwa, APRN 68 S Service Rd Ste 350, Melville, NY 11747-2358 Ph: (516) 945-3000 |
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