Dr Adedapo M Oduwole, MD | |
1203 48th Ave N, 202, Myrtle Beach, SC 29577-5425 | |
(843) 449-2576 | |
(843) 449-6851 |
Full Name | Dr Adedapo M Oduwole |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 23 Years |
Location | 1203 48th Ave N, Myrtle Beach, South Carolina |
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 |
---|---|---|---|
1720139645 | NPI | - | NPPES |
31507 | Medicaid | SC | |
34116200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 43425 (Wisconsin) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31507 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Loris Hospital | Loris, SC | Hospital |
Conway Medical Center | Conway, SC | Hospital |
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mofdaps And Company | 3678611720 | 3 |
Entity Name | Mofdaps And Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144458183 PECOS PAC ID: 3678611720 Enrollment ID: O20091110000261 |
Mailing Address | Practice Location Address |
---|---|
Dr Adedapo M Oduwole, MD 1203 48th Ave N, 202, Myrtle Beach, SC 29577-5425 Ph: (843) 449-2576 | Dr Adedapo M Oduwole, MD 1203 48th Ave N, 202, Myrtle Beach, SC 29577-5425 Ph: (843) 449-2576 |
Margaret S Bhatt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1203 48th Ave N Ste 202, Myrtle Beach, SC 29577 Phone: 843-449-7105 Fax: 843-449-7105 | |
Robert J. Coni, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572 Phone: 843-449-2336 Fax: 843-692-2174 | |
Dr. Mark Grinman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572 Phone: 843-449-2336 Fax: 843-692-2174 | |
Dr. Susan Jayne Olson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1297 Professional Dr, Ste 104, Myrtle Beach, SC 29577 Phone: 843-712-1854 Fax: 843-213-1681 | |
Dr. Luciano Lizzi, M.D., J.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4830 Innisbrook Ct Apt 1003, Myrtle Beach, SC 29579 Phone: 610-896-8580 | |
Dr. Renee Ruth Lamm, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3025 Newcastle Loop, Myrtle Beach, SC 29588 Phone: 843-215-2400 Fax: 843-215-2444 | |
Dr. Christina Pitts Lynn, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 803-606-8885 |