Dr Omotayo Mutiat Olatinwo, MD in Pineville, LA

Dr Omotayo Mutiat Olatinwo, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Pineville, Louisiana. Her current practice location is Alexandria Va Health Care System, 2495 Shreveport Highway, Pineville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 473-0010.

Dr Omotayo Mutiat Olatinwo is licensed to practice in Louisiana (license number MD.204261) 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 1417120395.

Contact Information

	Dr Omotayo Mutiat Olatinwo, MD
	Alexandria Va Health Care System, 2495 Shreveport Highway, Pineville, LA 71360
	(318) 473-0010
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Omotayo Mutiat Olatinwo
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	Alexandria Va Health Care System, Pineville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417120395
Provider Enumeration Date: 04/10/2008
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3476733106
Enrollment ID: I20110211000593

Medical Identifiers

Medical identifiers for Dr Omotayo Mutiat Olatinwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417120395	NPI	-	NPPES
2160818	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	063279 (Georgia)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	MD.204261 (Louisiana)	Primary
207R00000X	Internal Medicine	MD.204261 (Louisiana)	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 Omotayo Mutiat Olatinwo allows following entities to bill medicare on her behalf.

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151021000365

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20190923002250

Entity Name	Central Louisiana Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308

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 Omotayo Mutiat Olatinwo 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 Omotayo Mutiat Olatinwo, MD Alexandria Va Health Care System, 2495 Shreveport Highway, Pineville, LA 71360-4044 Ph: (318) 473-0010	Dr Omotayo Mutiat Olatinwo, MD Alexandria Va Health Care System, 2495 Shreveport Highway, Pineville, LA 71360 Ph: (318) 473-0010

Reviews and Comments

Internal Medicine Doctors in Pineville, LA

Dr. Alejandro Penzo, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 352 Hospital Blvd., Pineville, LA 71361 Phone: 318-448-0811
Dr. Alan L. Barnes, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 242 West Shamrock St., Pineville, LA 71360 Phone: 318-484-6242 Fax: 318-484-6800
Dr. Elizabeth Highland Bowles, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-2692
Dr. William James Mitchell Ii, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy # 71, Pineville, LA 71360 Phone: 318-466-2422 Fax: 318-483-5065
Dr. Jose Nelson Rivera Jr., M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy # 71n, Pineville, LA 71360 Phone: 318-466-2760
Stephen Charles Fitzgerald, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 352 Hospital Blvd, Pineville, LA 71360 Phone: 318-448-0811 Fax: 318-473-1435
Mr. Ali Groun Surek, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Retreat St. W., Pineville, LA 71360 Phone: 318-487-0339

Dr Omotayo Mutiat Olatinwo, MD - Medicare Internal Medicine in Pineville, LA