| Dr Edward Olubankole Senu-oke, MD | |
|
820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | |
| (904) 202-3860 | |
| Not Available |
| Full Name | Dr Edward Olubankole Senu-oke |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 820 Prudential Dr Ste 304, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1316990864 | NPI | - | NPPES |
| 1017159 | Other | VA | OPTIMA HEALTH |
| 1316990864 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 1316990864 | Medicaid | NC | |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| 1316990864 | Other | VA | COVENTRY NETWORK |
| 1316990864 | Other | VA | UNITED HEALTHCARE |
| 490717 | Other | VA | ANTHEM BC/BS |
| PAR | Other | VA | CIGNA |
| -028 | Other | VA | TRICARE/CHAMPUS |
| PAR | Other | VA | CORVEL |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | USA MANAGED CARE |
| 1316990864 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101241450 (Virginia) | Secondary |
| 208M00000X | Hospitalist | ME124895 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | ME124895 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Twin County Regional Hospital | Galax, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 159 |
| Carilion Healthcare Corporation | 5890607253 | 445 |
| Sentara Medical Group | 8921903923 | 1200 |
| Southeastern Intensivist Services Pc | 9335152107 | 188 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Southeastern Intensivist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Olubankole Senu-oke, MD Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Dr Edward Olubankole Senu-oke, MD 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 Ph: (904) 202-3860 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |