Constance Olatidoye, MD | |
1414 S 42nd St, Wilmington, NC 28403-6818 | |
(910) 350-1330 | |
(910) 350-1330 |
Full Name | Constance Olatidoye |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 30 Years |
Location | 1414 S 42nd St, Wilmington, North Carolina |
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 |
---|---|---|---|
1346300332 | NPI | - | NPPES |
891375J | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 9901275 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Dimension Group, Llc | 0547337123 | 3 |
Entity Name | New Dimension Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912032475 PECOS PAC ID: 0547337123 Enrollment ID: O20080923000800 |
Mailing Address | Practice Location Address |
---|---|
Constance Olatidoye, MD Po Box 3743, Wilmington, NC 28406-0743 Ph: (910) 350-1330 | Constance Olatidoye, MD 1414 S 42nd St, Wilmington, NC 28403-6818 Ph: (910) 350-1330 |
Dr. James Perry Mayo Iii, M.D., MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1426 Navaho Trl Unit 107, Wilmington, NC 28409 Phone: 910-518-8807 Fax: 910-216-4278 | |
Dr. Christopher Robert Myers, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 | |
Dr. Lionel Gregory Fernando, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5617 Maxwell Pl, Wilmington, NC 28409 Phone: 910-742-9243 Fax: 888-746-1787 | |
Nina Leah Yokochi-funkhouser, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-815-5830 | |
Chih-cheng Frank Chen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401 Phone: 910-395-5521 Fax: 910-350-1123 | |
Dr. Burt Powers Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2023 S 17th St, Wilmington, NC 28401 Phone: 910-251-6499 Fax: 910-251-6511 | |
Dr. Brett A Gurkin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 |