Mr Wale Muyiwa Olukanmi, PA-C in Lancaster, CA - Medicare Physician Assistant

Mr Wale Muyiwa Olukanmi, PA-C is a medicare enrolled "Physician Assistant - Medical" in Lancaster, California. His current practice location is 44750 60th St W, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 729-2000.

Mr Wale Muyiwa Olukanmi is licensed to practice in California (license number PA16609) 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 1538386495.

Contact Information

	Mr Wale Muyiwa Olukanmi, PA-C
	44750 60th St W, Lancaster, CA 93536-7619
	(661) 729-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Wale Muyiwa Olukanmi
Gender	Male
Speciality	Physician Assistant - Medical
Location	44750 60th St W, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538386495
Provider Enumeration Date: 04/19/2007
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1557303716
Enrollment ID: I20050526001042

Medical Identifiers

Medical identifiers for Mr Wale Muyiwa Olukanmi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538386495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA16609 (California)	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 Wale Muyiwa Olukanmi 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 Wale Muyiwa Olukanmi, PA-C Po Box 1675, Lancaster, CA 93539-1675 Ph: (310) 663-3122	Mr Wale Muyiwa Olukanmi, PA-C 44750 60th St W, Lancaster, CA 93536-7619 Ph: (661) 729-2000

Reviews and Comments

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Mr Wale Muyiwa Olukanmi, PA-C - Medicare Physician Assistant in Lancaster, CA