Dr Ezekiel Oladejo Adetunji, MD | |
150 Murray Guard Dr, Jackson, TN 38305-3609 | |
(731) 300-3168 | |
(731) 300-3169 |
Full Name | Dr Ezekiel Oladejo Adetunji |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 150 Murray Guard Dr, Jackson, Tennessee |
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 |
---|---|---|---|
1033302013 | NPI | - | NPPES |
3002429 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44164 (Tennessee) | Primary |
207Q00000X | Family Medicine | 001924 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Bolivar General Hospital | Bolivar, TN | Hospital |
Camden General Hospital | Camden, TN | Hospital |
Bailey Park Clc | Humboldt, TN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amen Clinic Pc | 3971765421 | 2 |
Emergency Medical Care Facilities Pc | 6103837877 | 30 |
Entity Name | Emergency Medical Care Facilities Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
Entity Name | Amen Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407121551 PECOS PAC ID: 3971765421 Enrollment ID: O20120430000724 |
Mailing Address | Practice Location Address |
---|---|
Dr Ezekiel Oladejo Adetunji, MD 139 Stonebridge Blvd, Jackson, TN 38305-2040 Ph: (731) 300-3168 | Dr Ezekiel Oladejo Adetunji, MD 150 Murray Guard Dr, Jackson, TN 38305-3609 Ph: (731) 300-3168 |
Parker Panovec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8360 Fax: 731-664-7928 | |
Michael James Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Melissa A Robbins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Drive, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-423-4919 | |
Kenneth R. Warren, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305 Phone: 731-664-0103 Fax: 731-664-5666 | |
Anna Elizabeth Glass Burgess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-664-1378 | |
Christopher Reyes Caangay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3755 |