John Okolo, NP | |
502 Box Elder Ct, Bonaire, GA 31005-5401 | |
(678) 559-8969 | |
Not Available |
Full Name | John Okolo |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 502 Box Elder Ct, Bonaire, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912439647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 4704416472 (Michigan) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | RN217300 (Georgia) | Primary |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
Mailing Address | Practice Location Address |
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John Okolo, NP 502 Box Elder Ct, Bonaire, GA 31005-5401 Ph: (678) 559-8969 | John Okolo, NP 502 Box Elder Ct, Bonaire, GA 31005-5401 Ph: (678) 559-8969 |
Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005 Phone: 478-922-9944 | |
Mrs. Laquita Charle Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Southshore Ct, Bonaire, GA 31005 Phone: 229-712-8884 | |
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120 | |
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013 | |
Jessica Ann Smith, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Donna Kay Ct, Bonaire, GA 31005 Phone: 478-220-1707 | |
Mr. Adewale Anthony Oderinde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Blue Bonnet Trl, Bonaire, GA 31005 Phone: 478-284-6452 Fax: 478-225-6609 | |
Dona Michelle Tuten Ii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120 |