| Moshood Olatinwo, MD | |
|
617a Bienville St, Natchitoches, LA 71457-5730 | |
| (318) 352-1108 | |
| (318) 352-1106 |
| Full Name | Moshood Olatinwo |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 42 Years |
| Location | 617a Bienville St, Natchitoches, Louisiana |
| 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 |
|---|---|---|---|
| 1730189952 | NPI | - | NPPES |
| 009911284 | Medicaid | AL | |
| 09001250 | Medicaid | MS | |
| 2100882 | Medicaid | LA | |
| 000973233 | Medicaid | GA | |
| 515542695 | Other | AL | BCBS - 1720 CENTER ST |
| 51542720 | Other | AL | BCBS - 1610 CENTER ST |
| 009911291 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD.203547 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Entity Name | Summit Ob Gyn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124340054 PECOS PAC ID: 4981733698 Enrollment ID: O20100518000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Moshood Olatinwo, MD 617a Bienville St, Natchitoches, LA 71457-5730 Ph: (318) 352-1108 | Moshood Olatinwo, MD 617a Bienville St, Natchitoches, LA 71457-5730 Ph: (318) 352-1108 |
Dr. Jamie W Wright, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 655 Bienville Cir, Natchitoches, LA 71457 Phone: 318-356-9500 Fax: 318-352-9595 | |
Dr. Phyllis Lynnette Mason, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 655 Bienville Cir, Natchitoches, LA 71457 Phone: 318-238-3652 Fax: 318-238-3654 |