| Damilola Adesanya, MD | |
|
333 E 2nd St, Richland Center, WI 53581-1914 | |
| (608) 647-6321 | |
| Not Available |
| Full Name | Damilola Adesanya |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 333 E 2nd St, Richland Center, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427632280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 86443-20 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | 036.169495 (Illinois) | Secondary |
| Entity Name | Humboldt Park Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
| Entity Name | Pcc Community Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Damilola Adesanya, MD 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 | Damilola Adesanya, MD 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 |
Mysa T Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-674-6321 | |
Dr. David Joseph May, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178 | |
Bryan L. Myers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 | |
Dr. Andrew Jacob Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178 | |
Lauren Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Dr. Peter J Lamble, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178 | |
Matthew S. Pappy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 |