Modupe Olatunde, | |
1020 S. Carrier Pwky, Grand Prairie, TX 75051 | |
(214) 743-1200 | |
Not Available |
Full Name | Modupe Olatunde |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1020 S. Carrier Pwky, Grand Prairie, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063059756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP143862 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dallas County Mental Health And Mental Retardation Center | 2062308091 | 50 |
Entity Name | Dallas County Mental Health & Mental Retardation Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023239886 PECOS PAC ID: 2062308091 Enrollment ID: O20040225001046 |
Entity Name | Che Behavioral Health Services Of Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174135453 PECOS PAC ID: 0648683706 Enrollment ID: O20210108001592 |
Mailing Address | Practice Location Address |
---|---|
Modupe Olatunde, 6039 Cedar Glen Dr, Grand Prairie, TX 75052-0409 Ph: () - | Modupe Olatunde, 1020 S. Carrier Pwky, Grand Prairie, TX 75051 Ph: (214) 743-1200 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |