Dr Ayodele A Ogunfowora, MD | |
120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 | |
(803) 788-7882 | |
(803) 788-1828 |
Full Name | Dr Ayodele A Ogunfowora |
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Gender | Male |
Speciality | Psychiatry |
Experience | 35 Years |
Location | 120 Wildewood Park Dr, Columbia, South Carolina |
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 |
---|---|---|---|
1073578506 | NPI | - | NPPES |
210756 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 21075 (South Carolina) | Primary |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
Entity Name | Sandhills Medical Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
Entity Name | Medogun Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730229683 PECOS PAC ID: 9133263551 Enrollment ID: O20100223000143 |
Entity Name | Sandhills Medical Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131 |
Mailing Address | Practice Location Address |
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Dr Ayodele A Ogunfowora, MD 106 Nautique Cir, Columbia, SC 29229-7328 Ph: () - | Dr Ayodele A Ogunfowora, MD 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 Ph: (803) 788-7882 |
Jason Lerand Gandy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 Medical Park, Psychiatry-general - Ste. 141, Columbia, SC 29203 Phone: 803-434-1433 Fax: 803-434-4062 | |
Dr. Jeffrey Roy Meyers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1333 Taylor St Ste 1c, Columbia, SC 29201 Phone: 803-254-6391 Fax: 803-799-0682 | |
Dr. Richard Lesesne Frierson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Medical Park Rd, Suite 301, Columbia, SC 29203 Phone: 803-255-3400 Fax: 803-255-3420 | |
Dr. Frank Pechal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 706-776-4000 | |
Dr. Priyantha Herath, MD PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8 Richland Medical Park Dr, Ste 420, Columbia, SC 29203 Phone: 803-545-6050 | |
Dr. Joshua Taylor Thornhill Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Park Rd, Suite 103, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351 | |
Dr. Eric Rashad Williams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3555 Harden Street Ext, 15 Medical Park, Suite 141, Columbia, SC 29203 Phone: 803-434-4300 Fax: 803-434-4351 |