| Deji O Okuboye, DO | |
|
2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582-2224 | |
| (843) 366-2900 | |
| Not Available |
| Full Name | Deji O Okuboye |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528196227 | NPI | - | NPPES |
| 1501F | Other | NC | BCBS OF NC |
| 5910493 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008-00736 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | OS9863 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catawba Valley Medical Center | Hickory, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gaston Family Health Services Inc | 5496733925 | 87 |
| Entity Name | Gaston Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
| Entity Name | Catawba Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790062362 PECOS PAC ID: 6305007279 Enrollment ID: O20120420000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Deji O Okuboye, DO Po Box 890273, Charlotte, NC 28289-0273 Ph: (828) 632-7076 | Deji O Okuboye, DO 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582-2224 Ph: (843) 366-2900 |
Ms. Donnell Ramsey Mace, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 25th Ave S Ste 12, North Myrtle Beach, SC 29582 Phone: 843-256-6721 Fax: 843-900-2200 | |
Dr. John Garnett Ramsbottom Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 86 Cedar Ave, North Myrtle Beach, SC 29582 Phone: 843-249-2451 Fax: 843-249-4100 | |
Michael S Nirenstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 920-832-2635 | |
Dr. Donald Elmer Bartlett Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582 Phone: 843-366-2900 Fax: 843-366-2450 | |
Nicholas J Pennings, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411 |