Kiandra Sade Olufowobi, in New York, NY - Medicare Neurological Surgery

Kiandra Sade Olufowobi, is a medicare enrolled "Neurological Surgery" physician in New York, New York. Her current practice location is 1 Gustave L Levy Pl # 1136, New York, New York. You can reach out to her office (for appointments etc.) via phone at (203) 610-9381.

Kiandra Sade Olufowobi is licensed to practice in New York (license number 026130) 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 1609339985.

Contact Information

	Kiandra Sade Olufowobi,
	1 Gustave L Levy Pl # 1136, New York, NY 10029-6504
	(203) 610-9381
	Not Available

Map and Direction

Physician's Profile

Full Name	Kiandra Sade Olufowobi
Gender	Female
Speciality	Neurological Surgery
Location	1 Gustave L Levy Pl # 1136, New York, 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: 1609339985
Provider Enumeration Date: 04/12/2019
Last Update Date: 06/18/2026

Medicare PECOS Information:

PECOS PAC ID: 0143627661
Enrollment ID: I20210927002158

Medical Identifiers

Medical identifiers for Kiandra Sade Olufowobi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609339985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	026130 (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. Kiandra Sade Olufowobi allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497029581 PECOS PAC ID: 2264691070 Enrollment ID: O20120731000708

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. Kiandra Sade Olufowobi 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
Kiandra Sade Olufowobi, 324 E 81st St Apt 5fw, New York, NY 10028-3930 Ph: (203) 610-9381	Kiandra Sade Olufowobi, 1 Gustave L Levy Pl # 1136, New York, NY 10029-6504 Ph: (203) 610-9381

Reviews and Comments

Neurological Surgery Doctors in New York, NY

Michael Louis Smith, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 645 Madison Ave Fl 34, New York, NY 10022 Phone: 888-636-7840
Dr. Christopher J Winfree, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St Fl 5, New York, NY 10032 Phone: 212-342-2776 Fax: 212-305-4108
Sydney Ana Dolores Benton, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Pace Plz, New York, NY 10038 Phone: 212-346-1200
Dr. Dean Chou, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5141 Broadway, New York, NY 10034 Phone: 212-305-7376
Aaron Hockley, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 306 E 15th St Apt 4r, New York, NY 10003 Phone: 604-781-4852
Philip M Meyers, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 710 W 168th St, Neurological Institute, Rm 404, New York, NY 10032 Phone: 212-305-6384 Fax: 121-342-1229
Kate Tobin Carroll, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 866-426-7787

Kiandra Sade Olufowobi, - Medicare Neurological Surgery in New York, NY