Dr Amanda Ebun Olagunju, DO | |
48 Newmarket Sq, Newport News, VA 23605-2721 | |
(757) 825-8030 | |
(757) 847-9149 |
Full Name | Dr Amanda Ebun Olagunju |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 48 Newmarket Sq, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083065064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7732 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 0102207707 (Virginia) | Primary |
Entity Name | Pmr Virginia Holding Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505 |
Mailing Address | Practice Location Address |
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Dr Amanda Ebun Olagunju, DO 48 Newmarket Sq, Newport News, VA 23605-2721 Ph: (757) 825-8030 | Dr Amanda Ebun Olagunju, DO 48 Newmarket Sq, Newport News, VA 23605-2721 Ph: (757) 825-8030 |
Dr. Daniel Jason Frasca, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Neama Komishani Setambar I, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 703-851-9820 | |
Catherine Wilson, Family Medicine Medicare: Medicare Enrolled Practice Location: 12200 Warwick Blvd Ste 110, Newport News, VA 23601 Phone: 757-534-9988 | |
Dr. James Edward Burton Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10852 Warwick Boulevard, Hilton Family Practice, Newport News, VA 23601 Phone: 757-594-3602 | |
Kent E. Willyard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12695 Mcmanus Blvd, Bldg 6, Suite A, Newport News, VA 23602 Phone: 757-969-1755 Fax: 757-969-1722 | |
Dr. Jeffrey Harris, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave, Suite A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Dr. Toti Palma Gonzalo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 716 Denbigh Blvd, Suite A-1, Newport News, VA 23608 Phone: 757-872-6620 Fax: 757-877-5450 |