Dr Adebowale Ogunseye Oguntola, MD | |
663 Lanier Park Dr, Gainesville, GA 30501-2059 | |
(678) 450-0202 | |
(678) 450-0080 |
Full Name | Dr Adebowale Ogunseye Oguntola |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 33 Years |
Location | 663 Lanier Park Dr, Gainesville, Georgia |
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 |
---|---|---|---|
1336121946 | NPI | - | NPPES |
02076084 | Medicaid | NY | |
000025670 | Other | NY | EXCELLUS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 212959 (New York) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 97988 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Knickerbocker Dialysis, Inc. | Syracuse, NY | Dialysis facility |
Liverpool Dialysis Center, Llc | Syracuse, NY | Dialysis facility |
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Crouse Hospital | Syracuse, NY | Hospital |
St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kidney Care Center Of Georgia Llc | 9638200819 | 21 |
Entity Name | Kidney Care Center Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588981187 PECOS PAC ID: 9638200819 Enrollment ID: O20100702000184 |
Mailing Address | Practice Location Address |
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Dr Adebowale Ogunseye Oguntola, MD 663 Lanier Park Dr, Gainesville, GA 30501-2059 Ph: (678) 450-0202 | Dr Adebowale Ogunseye Oguntola, MD 663 Lanier Park Dr, Gainesville, GA 30501-2059 Ph: (678) 450-0202 |
James D Jackson, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Lisa Armsrees Gillespie, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872 | |
Dr. William Nathan Blake, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021 | |
Roberto Manuel Villanueva, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |