Oludayo Olusanya, MD | |
1011 14th Ave Nw, Ardmore, OK 73401-1828 | |
(580) 220-6378 | |
(580) 220-6772 |
Full Name | Oludayo Olusanya |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 8 Years |
Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
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 |
---|---|---|---|
1326496613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40700 (Oklahoma) | Primary |
207Q00000X | Family Medicine | 11018779A (Indiana) | Secondary |
207Q00000X | Family Medicine | 76604 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Mercy Hospital Tishomingo Inc | 1557542032 | 7 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Mercy Hospital Tishomingo Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972809002 PECOS PAC ID: 1557542032 Enrollment ID: O20180507002045 |
Mailing Address | Practice Location Address |
---|---|
Oludayo Olusanya, MD 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 220-6378 | Oludayo Olusanya, MD 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 220-6378 |
Dr. Pete C. Chambers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1306 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-6003 Fax: 580-223-6999 | |
Steven K Watkins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd, Suite G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 | |
Dr. James Forrestal, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 16th Ave Nw, Ardmore, OK 73401 Phone: 580-226-5120 Fax: 580-223-1003 | |
Brooks B Zimmerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Commerce St, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-2397 | |
Dr. Cameron Paul Lancarte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Summer Kirby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 |