Dr Adebowale Anselm Obaitan, MD | |
1430 Luckenbach Dr, Allen, TX 75013-4632 | |
(972) 390-8133 | |
(972) 390-9258 |
Full Name | Dr Adebowale Anselm Obaitan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1430 Luckenbach Dr, Allen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518952142 | NPI | - | NPPES |
2211482626 | Other | GA | TRICARE SOUTH |
52025889003 | Other | GA | BCBS |
688786920C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 051994 (Georgia) | Primary |
207R00000X | Internal Medicine | M6319 (Texas) | Secondary |
Entity Name | National Medical Professionals Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912120874 PECOS PAC ID: 3375859408 Enrollment ID: O20150903000965 |
Mailing Address | Practice Location Address |
---|---|
Dr Adebowale Anselm Obaitan, MD 1430 Luckenbach Dr, Allen, TX 75013-4632 Ph: (972) 390-8133 | Dr Adebowale Anselm Obaitan, MD 1430 Luckenbach Dr, Allen, TX 75013-4632 Ph: (972) 390-8133 |
Mrs. Chay Shalise Nersesian, M.ED, ATC, LAT, CES Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Rivercrest Blvd, Allen, TX 75002 Phone: 972-727-4037 Fax: 972-727-7103 | |
Marian Bednar, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 972-747-6552 | |
Dr. Robert Marc Wycoff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 W. Exchange Pkwy, Emergency Department, Allen, TX 75013 Phone: 972-678-4545 | |
Stephan M Kramer, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 972-747-6552 | |
Dr. Joseph Starr Fagner, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 304 W Boyd Dr Unit 915, Allen, TX 75013 Phone: 469-831-1839 | |
Jonathan Franklin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 972-747-6552 | |
Eden T Yang, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 972-747-6552 |