Dr Olatunji Jonathan Oluwatade, MD - Medicare Infectious Disease in Vicksburg, MS

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Dr Olatunji Jonathan Oluwatade, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Vicksburg, Mississippi. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Kcc Infusion, Llc, Medical Associates Of Vicksburg Pllc and his current practice location is 2080 S, Frontage Rd., Suite100, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 262-1000.

Dr Olatunji Jonathan Oluwatade is licensed to practice in Mississippi (license number 19904) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477677458.

Contact Information

Dr Olatunji Jonathan Oluwatade, MD
2080 S, Frontage Rd., Suite100,
Vicksburg, MS 39180-5883
(601) 262-1000
Not Available

Map and Direction




Physician's Profile

Full NameDr Olatunji Jonathan Oluwatade
GenderMale
SpecialityInfectious Disease
Experience37 Years
Location2080 S, Frontage Rd., Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Olatunji Jonathan Oluwatade graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1477677458
  • Provider Enumeration Date: 03/16/2007
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628158326
  • Enrollment ID: I20080115000320

Medical Identifiers

Medical identifiers for Dr Olatunji Jonathan Oluwatade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477677458NPI-NPPES
1811254MedicaidLA
08108016MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301089363 (Michigan)Secondary
207P00000XEmergency Medicine 19904 (Mississippi)Secondary
208M00000XHospitalist 19904 (Mississippi)Secondary
207RI0200XInternal Medicine - Infectious Disease 19904 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At Home -flowoodFlowood, MSHome health agency
Sta Home Health And HospiceClinton, MSHome health agency
Merit Health River RegionVicksburg, MSHospital
Merit Health River OaksFlowood, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital
Merit Health MadisonCanton, MSHospital
Crossgates River Oaks HospitalBrandon, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kcc Infusion, Llc46880768962
Medical Associates Of Vicksburg Pllc35777823669

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 Olatunji Jonathan Oluwatade allows following entities to bill medicare on his behalf.
Entity NameVicksburg Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629084058
PECOS PAC ID: 4688575129
Enrollment ID: O20040213000299
Entity NameRiver Oaks Management Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922029040
PECOS PAC ID: 0345233110
Enrollment ID: O20040407000093
Entity NameBaptist Medical Center - Yazoo, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619918075
PECOS PAC ID: 5799850376
Enrollment ID: O20080815000433
Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662
Entity NameMedical Associates Of Vicksburg Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508278177
PECOS PAC ID: 3577782366
Enrollment ID: O20140909002017
Entity NameWound Care Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568793750
PECOS PAC ID: 0840314548
Enrollment ID: O20160920000827
Entity NameKcc Infusion, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942875158
PECOS PAC ID: 4688076896
Enrollment ID: O20210712000313

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 Olatunji Jonathan Oluwatade 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 AddressPractice Location Address
Dr Olatunji Jonathan Oluwatade, MD
2080 S Frontage Rd, Suite 100,
Vicksburg, MS 39180-5328

Ph: (601) 262-1000		Dr Olatunji Jonathan Oluwatade, MD
2080 S, Frontage Rd., Suite100,
Vicksburg, MS 39180-5883

Ph: (601) 262-1000

Reviews and Comments


Internal Medicine Doctors in Vicksburg, MS

Michael L Davis, MD
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Murray P Whitaker, MD
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Dr. Charles A. Marascalco, MD
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Dr. Raman Jeet Sohal,
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Dr. Karan Puri, MD
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Albert F Chiemprabha, MD
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Phone: 601-355-1234    Fax: 601-326-3559
Dr. Karthik Yeruva, MD
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Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5946    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.