| Dr Olanrewaju Olukitibi, MD | |
|
23 Kiernan Rd, Campbell Hall, NY 10916-2200 | |
| (404) 287-4401 | |
| Not Available |
| Full Name | Dr Olanrewaju Olukitibi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 21 Years |
| Location | 23 Kiernan Rd, Campbell Hall, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710384326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 292090 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital Of Suffern | Suffern, NY | Hospital |
| Bon Secours Community Hospital | Port jervis, NY | Hospital |
| Garnet Health Medical Center | Middletown, NY | Hospital |
| Healthalliance Hospital Marys Avenue Campus | Kingston, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Orange Physician Services | 0749405405 | 6 |
| Bon Secours Charity Health System Medical Group, P.c. | 1658262084 | 157 |
| Garnet Health Doctors Pc | 8628293545 | 167 |
| Entity Name | Bon Secours Charity Health System Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971 |
| Entity Name | Newburgh Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205268364 PECOS PAC ID: 2264666767 Enrollment ID: O20131017000492 |
| Entity Name | Garnet Health Doctors Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093138851 PECOS PAC ID: 8628293545 Enrollment ID: O20140710000189 |
| Entity Name | Central Orange Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558776468 PECOS PAC ID: 0749405405 Enrollment ID: O20140714000982 |
| Entity Name | Olukitibi Care Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821774738 PECOS PAC ID: 6406217595 Enrollment ID: O20230807000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olanrewaju Olukitibi, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-2260 | Dr Olanrewaju Olukitibi, MD 23 Kiernan Rd, Campbell Hall, NY 10916-2200 Ph: (404) 287-4401 |