| Dr Olabisi A Jagun, MD | |
|
12600 Hill Creek Ln, Potomac, MD 20854-1184 | |
| (240) 401-5953 | |
| Not Available |
| Full Name | Dr Olabisi A Jagun |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 12600 Hill Creek Ln, Potomac, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679522023 | NPI | - | NPPES |
| 030100500 | Medicaid | DC | |
| 3810007727 | Medicaid | WV | |
| 1679522023 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD16916 (District Of Columbia) | Primary |
| 207P00000X | Emergency Medicine | 0101046802 (Virginia) | Secondary |
| Entity Name | Davis Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
| Entity Name | West Virginia Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952776379 PECOS PAC ID: 7618270323 Enrollment ID: O20160128002708 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olabisi A Jagun, MD 12600 Hill Creek Ln, Potomac, MD 20854-1184 Ph: (240) 401-5953 | Dr Olabisi A Jagun, MD 12600 Hill Creek Ln, Potomac, MD 20854-1184 Ph: (240) 401-5953 |
Dr. Meera Kanhouwa, MD, MHA, FACEP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11108 Willowbrook Dr, Potomac, MD 20854 Phone: 253-961-2806 | |
Dr. Toby Lynn Litovitz, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8720 Crider Brook Way, Potomac, MD 20854 Phone: 202-362-3867 |