Dr Olapeju Modupeola Simoyan, MD, MPH, BDS | |
1020 W Lackawanna Ave, Scranton, PA 18504-2052 | |
(570) 846-2720 | |
Not Available |
Full Name | Dr Olapeju Modupeola Simoyan |
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Gender | Female |
Speciality | Family Medicine |
Location | 1020 W Lackawanna Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437351178 | NPI | - | NPPES |
1025945990004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD436535 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Aaron Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386628691 PECOS PAC ID: 4880691732 Enrollment ID: O20061107000182 |
Entity Name | Cleanslate Medical Group Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184177263 PECOS PAC ID: 8426334400 Enrollment ID: O20170405000660 |
Mailing Address | Practice Location Address |
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Dr Olapeju Modupeola Simoyan, MD, MPH, BDS 501 Madison Ave, Scranton, PA 18510-2401 Ph: (570) 343-2383 | Dr Olapeju Modupeola Simoyan, MD, MPH, BDS 1020 W Lackawanna Ave, Scranton, PA 18504-2052 Ph: (570) 846-2720 |
Haleigh Jo Hughes, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Lackawanna Ave, Scranton, PA 18503 Phone: 570-961-3823 | |
Barry I Eisenberg, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Jefferson Ave, Ste 104, Scranton, PA 18510 Phone: 570-346-4621 Fax: 570-346-5109 | |
Dr. Anthony Nicholas Lafalce, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Linden St, Leahy Clinic For The Uninsured University Of Scranton, Scranton, PA 18510 Phone: 570-941-6112 Fax: 570-941-6165 | |
Eiel E Ragsdale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1078 S Washington Ave, Scranton, PA 18505 Phone: 570-241-0500 Fax: 570-491-8012 | |
Dr. Michael J Turock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 397 N 9th Ave, Scranton, PA 18504 Phone: 570-344-8619 Fax: 570-344-3230 | |
Stephanie Anne Boyarsky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1789 N Keyser Ave, Scranton, PA 18508 Phone: 570-969-1904 Fax: 570-207-5314 | |
Dr. Daniel Joseph Kazmierski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1789 N Keyser Ave, Scranton, PA 18508 Phone: 570-969-1904 Fax: 570-207-5314 |