Mr Samson Olaitan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Batesville, Arkansas. His current practice location is
1993 Harrison St Ste 302, Batesville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 793-2540.
Mr Samson Olaitan is licensed to practice in * (Not Available) (license number ) 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 1245409135.
Provider's Profile
Full Name | Mr Samson Olaitan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1993 Harrison St Ste 302, Batesville, Arkansas |
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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: 1245409135
- Provider Enumeration Date: 02/25/2008
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628140100
- Enrollment ID: I20080627000093
Medical Identifiers
Medical identifiers for Mr Samson Olaitan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245409135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C0003400 (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Samson Olaitan 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 Samson Olaitan, MD 1993 Harrison St, Batesville, AR 72501-7309 Ph: (870) 793-2540 | Mr Samson Olaitan, MD 1993 Harrison St Ste 302, Batesville, AR 72501-7309 Ph: (870) 793-2540 |
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