| Hava Oaks Medical, Llc | |
|
1 W Main St. Berryville VA 22611-1340 | |
| (540) 667-1230 | |
| (540) 277-2174 |
| Full Name | Hava Oaks Medical, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 W Main St., Berryville, Virginia |
| Authorized Official Name and Position | Oluwakemi Olawuyi (PROVIDER) |
| Authorized Official Contact | 5406671230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hava Oaks Medical, Llc 1 W Main St. Berryville VA 22611-1340 Ph: (540) 667-1230 | Hava Oaks Medical, Llc 1 W Main St. Berryville VA 22611-1340 Ph: (540) 667-1230 |
| NPI Number | 1972268753 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/03/2024 |
| Medicare PECOS PAC ID | 9638569296 |
|---|---|
| Medicare Enrollment ID | O20211214001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972268753 | NPI | - | NPPES |
| 444736100 | Medicaid | MD | |
| 30017437190001 | Medicaid | VA | |
| WV8475F490 | Medicaid | WV |
| Provider Name | Oluwakemi Olawuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508317249 PECOS PAC ID: 4880974765 Enrollment ID: I20180403002169 |
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