Mr Adedapo F Okusanya, MD | |
2500 W Silver Spring Dr, Glendale, WI 53209-4218 | |
(414) 800-7171 | |
Not Available |
Full Name | Mr Adedapo F Okusanya |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 2500 W Silver Spring Dr, Glendale, Wisconsin |
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 |
---|---|---|---|
1619932126 | NPI | - | NPPES |
34827900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 48568020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 48568020 (Wisconsin) | Primary |
Entity Name | Providence Family Medical Clinic S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861857542 PECOS PAC ID: 3173828142 Enrollment ID: O20160229002957 |
Mailing Address | Practice Location Address |
---|---|
Mr Adedapo F Okusanya, MD 2500 W Silver Spring Drive, Glendale, WI 53209-4518 Ph: (414) 800-7171 | Mr Adedapo F Okusanya, MD 2500 W Silver Spring Dr, Glendale, WI 53209-4218 Ph: (414) 800-7171 |
Linda Rebekah Rogow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 | |
Lisa Hahn Speidel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6900 N Port Washington Rd, Glendale, WI 53217 Phone: 414-270-8100 Fax: 414-270-8120 | |
Mary D Washburne, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-963-7100 | |
Michele Reyes, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6799 N Green Bay Ave, Glendale, WI 53209 Phone: 262-241-9131 Fax: 414-446-8627 | |
Vance Andrew Masci, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 377 West River Woods Parkway, Suite 111, Glendale, WI 53212 Phone: 414-967-0966 Fax: 414-967-1035 |