Babatunde Adenusi, | |
435 W Brookhaven Rd, Brookhaven, PA 19015-1801 | |
(610) 499-1849 | |
Not Available |
Full Name | Babatunde Adenusi |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 435 W Brookhaven Rd, Brookhaven, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750748729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP015829 (Pennsylvania) | Primary |
Entity Name | Mercy Management Of Southeastern Pennsylvania |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427573492 PECOS PAC ID: 1456265974 Enrollment ID: O20040309000333 |
Entity Name | Trinity Health Mid-atlantic Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
Entity Name | Alegis Care - Pennsylvania Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548511017 PECOS PAC ID: 8921231820 Enrollment ID: O20140430000373 |
Entity Name | Evernorth Care Providers - Delaware Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457138182 PECOS PAC ID: 6002217973 Enrollment ID: O20231211002305 |
Mailing Address | Practice Location Address |
---|---|
Babatunde Adenusi, 435 W Brookhaven Rd, Brookhaven, PA 19015-1801 Ph: (610) 499-1849 | Babatunde Adenusi, 435 W Brookhaven Rd, Brookhaven, PA 19015-1801 Ph: (610) 499-1849 |
Mary Sue Nicholson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4098 Edgmont Ave, Brookhaven, PA 19015 Phone: 866-825-3227 Fax: 484-450-2617 | |
Ana Beard, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Edgmont Ave Ste A, Brookhaven, PA 19015 Phone: 610-876-6180 Fax: 610-876-6130 | |
Mrs. Lorraine Claudia Blagman, CRNP FAMILY HEALTH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4021 Woodworth Rd, Brookhaven, PA 19015 Phone: 610-872-6798 | |
Sieda Barrow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4098 Edgmont Ave, Brookhaven, PA 19015 Phone: 855-925-4733 | |
Mrs. Carolyn Sandra Hayes-dozier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1616 Powell Rd, Brookhaven, PA 19015 Phone: 215-615-8069 |