Dr Tayo Olubunmi Obatusin, MD | |
555 Saint Josephs Blvd, Elmira, NY 14901-3223 | |
(607) 737-7002 | |
(607) 271-3435 |
Full Name | Dr Tayo Olubunmi Obatusin |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 555 Saint Josephs Blvd, Elmira, New York |
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 |
---|---|---|---|
1477727592 | NPI | - | NPPES |
04325288 | Medicaid | NY | |
10025559200 | Medicaid | NE | |
103234051 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 24859 (Nebraska) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 249360 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mvhs Inc | 2769380252 | 296 |
Cayuga Medical Center At Ithaca | 7214847367 | 32 |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Cayuga Medical Center At Ithaca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164547303 PECOS PAC ID: 7214847367 Enrollment ID: O20050304000341 |
Mailing Address | Practice Location Address |
---|---|
Dr Tayo Olubunmi Obatusin, MD 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Dr Tayo Olubunmi Obatusin, MD 555 Saint Josephs Blvd, Elmira, NY 14901-3223 Ph: (607) 737-7002 |
Miss April Laverne Roberts, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 N Main Street, Suite 200, Elmira, NY 14901 Phone: 607-735-9878 Fax: 607-735-9877 | |
Dr. Albert K Chen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 W Water St, Elmira, NY 14905 Phone: 607-733-0780 | |
Dr. Ejiro Vivian Agboro-idahosa, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901 Phone: 607-737-7002 Fax: 607-737-1529 | |
Hannah Rose Bushnell, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 571 Saint Josephs Blvd Ste 304, Elmira, NY 14901 Phone: 607-737-7012 Fax: 607-735-5594 | |
Shahindokht Buchan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Washington St, Elmira, NY 14901 Phone: 607-737-4810 | |
Ms. Chunying Xu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901 Phone: 607-733-6541 Fax: 607-737-7529 | |
Dr. Herman Berliss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 22 Graycliff Dr, Elmira, NY 14903 Phone: 607-737-1326 |