Dr Oluwatoke Omotola Omiwade, DO - Medicare Student in an Organized Health Care Education/Training Program in Mcalester, OK

Dr Oluwatoke Omotola Omiwade, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mcalester, Oklahoma. Her current practice location is 1 E Clark Bass Blvd, Mcalester, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 421-4689.

Dr Oluwatoke Omotola Omiwade is licensed to practice in * (Not Available) (license number ) 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 1245891548.

Contact Information

Dr Oluwatoke Omotola Omiwade, DO
1 E Clark Bass Blvd,
Mcalester, OK 74501-4209
(918) 421-4689
(918) 421-8990



Physician's Profile

Full NameDr Oluwatoke Omotola Omiwade
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location1 E Clark Bass Blvd, Mcalester, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245891548
  • Provider Enumeration Date: 06/26/2019
  • Last Update Date: 05/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365777406
  • Enrollment ID: I20190711003620

Medical Identifiers

Medical identifiers for Dr Oluwatoke Omotola Omiwade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245891548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2019023482 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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 Oluwatoke Omotola Omiwade 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 Oluwatoke Omotola Omiwade, DO
1 E Clark Bass Blvd,
Mcalester, OK 74501-4209

Ph: (918) 421-4689
Dr Oluwatoke Omotola Omiwade, DO
1 E Clark Bass Blvd,
Mcalester, OK 74501-4209

Ph: (918) 421-4689

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