Ini-abasi Joyce Olutade, MD | |
100 Business Park Dr Ste A, Ridgeland, MS 39157-6015 | |
(601) 991-3040 | |
(601) 991-3399 |
Full Name | Ini-abasi Joyce Olutade |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 44 Years |
Location | 100 Business Park Dr Ste A, Ridgeland, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902907223 | NPI | - | NPPES |
0119586 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16022 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prolific Health And Wellness Pa | 3971862160 | 2 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Prolific Health & Wellness Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962913541 PECOS PAC ID: 3971862160 Enrollment ID: O20180116001079 |
Mailing Address | Practice Location Address |
---|---|
Ini-abasi Joyce Olutade, MD 100 Business Park Dr Ste A, Ridgeland, MS 39157-6015 Ph: (601) 991-3040 | Ini-abasi Joyce Olutade, MD 100 Business Park Dr Ste A, Ridgeland, MS 39157-6015 Ph: (601) 991-3040 |
Michael L Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Highway 51 Unit A, Ridgeland, MS 39157 Phone: 601-790-7105 Fax: 601-790-7865 | |
Richard Price, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Trace Colony Ste 2, Ridgeland, MS 39157 Phone: 601-992-3996 Fax: 769-300-3112 | |
Timothy Michael Quinn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 Fax: 601-487-6528 | |
Dr. Robert L Russell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Highway 51, Ridgeland, MS 39157 Phone: 601-856-9980 Fax: 601-856-9994 | |
Mrs. Sabrita Recheal Hopkins, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Rivergate Cv, Ridgeland, MS 39157 Phone: 601-201-7522 | |
Kristi Kay Trimm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1051 Highland Colony Pkwy Ste E, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Rommel Asagwara, M.D., Family Medicine Medicare: Medicare Enrolled Practice Location: 1060 E County Line Rd Ste 1a, Ridgeland, MS 39157 Phone: 769-444-5673 |