| Dr Oludare Ogunsola, DO | |
|
800 Virginia Ave Ste 45, Fort Pierce, FL 34982-5893 | |
| (740) 779-4598 | |
| (740) 779-4599 |
| Full Name | Dr Oludare Ogunsola |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 18 Years |
| Location | 800 Virginia Ave Ste 45, Fort Pierce, 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 |
|---|---|---|---|
| 1598911323 | NPI | - | NPPES |
| 0218810 | Medicaid | OH | |
| OS23382 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 34.012784 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Adena Pike Medical Center | Waverly, OH | Hospital |
| Greenfield Area Medical Center | Greenfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adena Medical Group Llc | 1153456579 | 384 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oludare Ogunsola, DO 10380 Sw Village Center Dr Ste 148, Port St Lucie, FL 34987-1931 Ph: (772) 266-7846 | Dr Oludare Ogunsola, DO 800 Virginia Ave Ste 45, Fort Pierce, FL 34982-5893 Ph: (740) 779-4598 |
Dr. Percy D. Kepfer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4018 Greenwood Dr, Fort Pierce, FL 34982 Phone: 772-464-2607 Fax: 772-464-4525 | |
Diane L Pugh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 S 25th St, Fort Pierce, FL 34947 Phone: 772-468-5925 | |
Wilhelmina N. Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Delaware Ave, Fort Pierce, FL 34950 Phone: 772-461-1402 Fax: 772-461-9972 | |
Dwight Garfield Dawkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Nebraska Ave, Fort Pierce, FL 34950 Phone: 772-461-1191 Fax: 772-461-1180 | |
Mrs. Jessica Collins Mccain, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 305 S 7th St, Fort Pierce, FL 34950 Phone: 772-252-0140 Fax: 772-577-7527 | |
Ms. Rhea Natasha Ramlal, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Delaware Ave, Fort Pierce, FL 34950 Phone: 772-461-1402 Fax: 772-461-9491 | |
Scott Allen Sanford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5550 S Us Highway 1, Fort Pierce, FL 34982 Phone: 772-460-9227 Fax: 772-460-9292 |