Dr Diane Sophia Ojugbeli, MD | |
304 Genesee St, Chittenango, NY 13037-0001 | |
(315) 687-6467 | |
(315) 687-6041 |
Full Name | Dr Diane Sophia Ojugbeli |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 304 Genesee St, Chittenango, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619088812 | NPI | - | NPPES |
02105113 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 219809-1 (New York) | Primary |
Entity Name | Kudos Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801303532 PECOS PAC ID: 4183962616 Enrollment ID: O20190208000192 |
Mailing Address | Practice Location Address |
---|---|
Dr Diane Sophia Ojugbeli, MD 1004 Gill St, Chittenango, NY 13037-0001 Ph: (315) 687-7319 | Dr Diane Sophia Ojugbeli, MD 304 Genesee St, Chittenango, NY 13037-0001 Ph: (315) 687-6467 |
Anthony Vigliotti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1372 State Route 5, Chittenango Healthcare Center, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 | |
Tammy Farr, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-778-1216 | |
Dr. Thomas V Chmelicek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 | |
Erika C Lambert, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Genesee Street, Chittenango, NY 13037 Phone: 315-687-6467 Fax: 315-251-2240 | |
Dr. Kristina M. Tervo, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 | |
Dr. Joyce Tibbett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 |