Olufunke Deborah Oludipe, | |
825 W Kearney St, Mesquite, TX 75149-3206 | |
(718) 506-1115 | |
Not Available |
Full Name | Olufunke Deborah Oludipe |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 825 W Kearney St, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134902075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1088708 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 225538 (Arkansas) | Primary |
Entity Name | Supportive Care Of Texas Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174247126 PECOS PAC ID: 1658744503 Enrollment ID: O20230224000479 |
Mailing Address | Practice Location Address |
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Olufunke Deborah Oludipe, 825 W Kearney St, Mesquite, TX 75149-3206 Ph: () - | Olufunke Deborah Oludipe, 825 W Kearney St, Mesquite, TX 75149-3206 Ph: (718) 506-1115 |
Mrs. Doris K Egyawan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 Yosemite Trl, Mesquite, TX 75149 Phone: 240-422-6374 | |
Mrs. Bincy Varughese, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1947 Cutler Dr, Mesquite, TX 75149 Phone: 214-606-5988 | |
Ajoke Alfred Iyamu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2417 Autumndale Dr, Mesquite, TX 75150 Phone: 469-422-2470 | |
Miss Andrea Roldan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3230 I-30, Ste. 100, Mesquite, TX 75150 Phone: 972-682-1791 | |
Mr. Roselio Perez Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2110 N Galloway Ave Ste 108, Mesquite, TX 75150 Phone: 972-634-4871 Fax: 972-584-9607 | |
Catherine N. Ebune, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3149 I-30, Suite A, Mesquite, TX 75150 Phone: 972-279-0781 Fax: 972-279-0785 | |
Ulda Veneziani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Oates Dr Ste 138, Mesquite, TX 75150 Phone: 972-270-7600 Fax: 972-270-9968 |