Dr Remilekun Subedat Adesoji, MD | |
8412 Airways Blvd, Southaven, MS 38671-5140 | |
(662) 536-2100 | |
(662) 536-2211 |
Full Name | Dr Remilekun Subedat Adesoji |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8412 Airways Blvd, Southaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043232986 | NPI | - | NPPES |
01724394 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 16591 (Mississippi) | Primary |
208000000X | Pediatrics | MD0000035865 (Tennessee) | Secondary |
Entity Name | Progressive Physicians Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783619 PECOS PAC ID: 9931176179 Enrollment ID: O20040915001247 |
Mailing Address | Practice Location Address |
---|---|
Dr Remilekun Subedat Adesoji, MD Po Box 1078, Southaven, MS 38671-0011 Ph: (662) 536-2100 | Dr Remilekun Subedat Adesoji, MD 8412 Airways Blvd, Southaven, MS 38671-5140 Ph: (662) 536-2100 |
Galen Phillips, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7276 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-6577 Fax: 662-349-6562 | |
Dr. Audrey L Krasin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7276 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-6577 Fax: 662-349-6562 | |
Dr. Christine Mary Hartford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7736 Airways Blvd, Southaven, MS 38671 Phone: 662-772-3700 | |
Dr. Manoj Narayanan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman, Ste 133, Southaven, MS 38672 Phone: 662-895-9498 Fax: 662-890-4547 | |
Dr. Peggy Ann O'cain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 340 Stateline Rd W, Southaven, MS 38671 Phone: 662-510-5387 | |
Kathryn Porter, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7276 Southcrest Pkwy, Southaven, MS 38671 Phone: 626-349-6577 Fax: 662-349-6562 |