Dr Rafiat Banwo, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Staten Island, New York. Her current practice location is
78 Cortelyou Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(617) 580-6844.
Dr Rafiat Banwo is licensed to practice in New York (license number 028154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871066241.
Healthcare Provider's Profile
| Full Name | Dr Rafiat Banwo |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 78 Cortelyou Ave, Staten Island, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1871066241
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901258904
- Enrollment ID: I20240116000302
Medical Identifiers
Medical identifiers for Dr Rafiat Banwo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871066241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 028154 (New York) | 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. Dr Rafiat Banwo allows following entities to bill medicare on her behalf.
| Entity Name | Anchor Health Homecare Services Inc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1356071237
PECOS PAC ID: 2163802570
Enrollment ID: O20220701001011 |
|---|
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. Dr Rafiat Banwo 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 |
|---|
Dr Rafiat Banwo, OTD, OTR/L
78 Cortelyou Ave,
Staten Island, NY 10312-2104
Ph: (617) 580-6844 | Dr Rafiat Banwo, OTD, OTR/L
78 Cortelyou Ave,
Staten Island, NY 10312-2104
Ph: (617) 580-6844 |
Reviews and Comments