| Olufolake Lukula, NP | |
|
613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | |
| (410) 636-3400 | |
| Not Available |
| Full Name | Olufolake Lukula |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 613 Hammonds Ln, Brooklyn Park, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144772328 | NPI | - | NPPES |
| 04624315 | Medicaid | NY | |
| 219284500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R198113 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Rehab Consultants Pllc | 6800220682 | 163 |
| Comprehensive Rehab Consultants Pllc | 6800220682 | 163 |
| Entity Name | Advanced Pain Medicine Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144310921 PECOS PAC ID: 3375638349 Enrollment ID: O20071005000179 |
| Entity Name | Choice Pain & Rehabilitation Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568809598 PECOS PAC ID: 1850534645 Enrollment ID: O20130827000063 |
| Entity Name | Comprehensive Rehab Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20230601003334 |
| Mailing Address | Practice Location Address |
|---|---|
| Olufolake Lukula, NP 13601 Mary Bowie Pkwy, Upper Marlboro, MD 20774-9075 Ph: (240) 350-7575 | Olufolake Lukula, NP 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 Ph: (410) 636-3400 |
Kirsten Parks, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5712 Pope St, Brooklyn Park, MD 21225 Phone: 443-845-3894 | |
Julie Ann Kramer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Hammonds Ln, Brooklyn Park, MD 21225 Phone: 443-949-0814 |