Dr Andre Luiz Pitanga Bastos De Souza, MD in Oklahoma City, OK

Dr Andre Luiz Pitanga Bastos De Souza, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Oklahoma City, Oklahoma. His current practice location is 800 Ne 10th St Ste B, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-4022.

Dr Andre Luiz Pitanga Bastos De Souza is licensed to practice in Oklahoma (license number 46042) 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 1053676627.

Contact Information

	Dr Andre Luiz Pitanga Bastos De Souza, MD
	800 Ne 10th St Ste B, Oklahoma City, OK 73104-5418
	(405) 271-4022
	(405) 271-3020

Map and Direction

Physician's Profile

Full Name	Dr Andre Luiz Pitanga Bastos De Souza
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	800 Ne 10th St Ste B, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053676627
Provider Enumeration Date: 07/10/2012
Last Update Date: 12/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4486903754
Enrollment ID: I20180820002126

Medical Identifiers

Medical identifiers for Dr Andre Luiz Pitanga Bastos De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053676627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	46042 (Oklahoma)	Primary
207RH0003X	Internal Medicine - Hematology & Oncology	MD16354 (Rhode Island)	Secondary

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 Andre Luiz Pitanga Bastos De Souza allows following entities to bill medicare on his behalf.

Entity Name	Rhode Island Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311

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 Andre Luiz Pitanga Bastos De Souza 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 Andre Luiz Pitanga Bastos De Souza, MD 515 Central Park Dr Ste 5009, Oklahoma City, OK 73105-1724 Ph: (405) 764-8066	Dr Andre Luiz Pitanga Bastos De Souza, MD 800 Ne 10th St Ste B, Oklahoma City, OK 73104-5418 Ph: (405) 271-4022

Reviews and Comments

Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Patrick Bronson Reeves, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448
Dr. Jake Lee Evans, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Shawn Patel, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211
Metri Haddaden, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184
Divya Sharma Divyadarshini, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Philip Barton Miner, Jr., M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296

Dr Andre Luiz Pitanga Bastos De Souza, MD - Medicare Internal Medicine in Oklahoma City, OK