Omoyemi Ajoke Idowu, DO | |
3636 High St, Portsmouth, VA 23707-3236 | |
(757) 398-2285 | |
(757) 397-5368 |
Full Name | Omoyemi Ajoke Idowu |
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Gender | Female |
Speciality | Internal Medicine |
Location | 3636 High St, Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861020026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 0102207598 (Virginia) | Secondary |
207R00000X | Internal Medicine | 0102207598 (Virginia) | Primary |
Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
Mailing Address | Practice Location Address |
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Omoyemi Ajoke Idowu, DO 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2285 | Omoyemi Ajoke Idowu, DO 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2285 |
Dr. Imtiaz Zaman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally G Tamayo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |