| Oluade A Ajayi, MBBS | |
|
1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | |
| (320) 252-5731 | |
| Not Available |
| Full Name | Oluade A Ajayi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1200 Sixth Ave No, St Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003898230 | NPI | - | NPPES |
| COMP | Other | ONE HEALTH PLAN | |
| COMP | Other | CHAMPUS | |
| 09 25 2003 | Other | MMSI | |
| 458988200 | Other | MEDICAL ASSISTANCE MA | |
| COM | Other | GREAT WEST | |
| 1034801 | Other | PREFERRED ONE | |
| 274R4AJ | Other | BLUE CROSS BLUE SHIELD | |
| 1908369 | Other | ARAZ GROUP | |
| 1908369 | Other | AMERICAS PPO | |
| 458988200 | Medicaid | MN | |
| NE | Other | RR MEDICARE | |
| 4700129 | Other | MEDICA HEALTH PLANS | |
| 171809 | Other | U CARE | |
| 2115953 | Other | FIRST HEALTH PLAN | |
| HP39081 | Other | HEALTH PARTNERS |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Oluade A Ajayi, MBBS 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5731 | Oluade A Ajayi, MBBS 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5731 |
Jennifer J Rogan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 | |
Tracey B Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-240-2832 | |
Logan Andrew Newman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Edward B Martin - Chafee, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 | |
Dr. Marla J Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 Fax: 719-447-8987 | |
Kelly B Fandel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 |