Mr Adewale Anthony Oderinde, NP | |
503 Blue Bonnet Trl, Bonaire, GA 31005-3759 | |
(478) 284-6452 | |
(478) 225-6609 |
Full Name | Mr Adewale Anthony Oderinde |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 503 Blue Bonnet Trl, Bonaire, Georgia |
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 |
---|---|---|---|
1376092247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN184424 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Georgia Emergency Group Llc | 5991004608 | 18 |
Entity Name | Houston County Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
Entity Name | Central Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
Mailing Address | Practice Location Address |
---|---|
Mr Adewale Anthony Oderinde, NP 503 Blue Bonnet Trl, Bonaire, GA 31005-3759 Ph: (478) 284-6452 | Mr Adewale Anthony Oderinde, NP 503 Blue Bonnet Trl, Bonaire, GA 31005-3759 Ph: (478) 284-6452 |
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 | |
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 |