| Cayaba Care | |
|
1575 N 52nd St Spc 801 Philadelphia PA 19131-4736 | |
| (267) 668-2256 | |
| (833) 518-1887 |
| Full Name | Cayaba Care |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1575 N 52nd St Spc 801, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Olanrewaju Alade Soremekun (PHYSICIAN/CEO/CO-FOUNDER) |
| Authorized Official Contact | 6468314970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayaba Care 1575 N 52nd St Spc 801 Philadelphia PA 19131-4736 Ph: (267) 668-2256 | Cayaba Care 1575 N 52nd St Spc 801 Philadelphia PA 19131-4736 Ph: (267) 668-2256 |
| NPI Number | 1962003293 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 1153736830 |
|---|---|
| Medicare Enrollment ID | O20210210000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962003293 | NPI | - | NPPES |
| 6902326 | Other | AETNA | |
| 1038755850001 | Medicaid | PA | |
| 1038755850002 | Medicaid | PA | |
| 0771074 | Medicaid | NJ | |
| 4587638 | Other | PA | HIGHMARK BCBS |
| Provider Name | Olanrewaju A Soremekun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225233877 PECOS PAC ID: 3577693514 Enrollment ID: I20200217001209 |
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