Olumide O Ajayeoba, MD | |
100 N Academy Ave, Danville, PA 17822-0001 | |
(570) 271-6439 | |
(570) 271-6852 |
Full Name | Olumide O Ajayeoba |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 17 Years |
Location | 100 N Academy Ave, Danville, Pennsylvania |
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 |
---|---|---|---|
1144577826 | NPI | - | NPPES |
P01374327 | Other | NC | RAILROAD MEDICARE |
1144577826 | Medicaid | NC | |
1144577826 | Other | NC | TRICARE |
1869M | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2014-01431 (North Carolina) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD467704 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Physician Services Inc | 5092608448 | 738 |
Entity Name | Riverside Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Olumide O Ajayeoba, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Olumide O Ajayeoba, MD 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 271-6439 |
Dr. Stanley Joseph Russin, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-9585 Fax: 570-214-9519 | |
Dr. Steven Bonebrake, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5555 Fax: 570-271-5269 | |
Tatiana Parra, Gastroenterology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6164 Fax: 570-271-6141 | |
Dr. Paul Flavian Simonelli, MD, PH.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Mc 01-11, Danville, PA 17822 Phone: 570-271-6655 Fax: 570-214-3967 | |
Dr. Taher M. Yahya, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6393 Fax: 570-271-5623 | |
Dr. Ion D. Bucaloiu, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6164 Fax: 570-271-6141 | |
Dr. Mark A Shelly, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6408 Fax: 570-271-5845 |