| Dr Olusola Olasupo Adegoke, MD MPH | |
|
15290 Pennock Ln, Apple Valley, MN 55124-7163 | |
| (952) 853-8800 | |
| (952) 431-6966 |
| Full Name | Dr Olusola Olasupo Adegoke |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 15290 Pennock Ln, Apple Valley, Minnesota |
| 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 |
|---|---|---|---|
| 1619311586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 59639 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | 65487 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Westfields Hospital And Clinic | New richmond, WI | Hospital |
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Westfields Hospital Inc | 2264490960 | 79 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Hutchinson Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695 |
| Entity Name | Healthpartners Rc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olusola Olasupo Adegoke, MD MPH 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Dr Olusola Olasupo Adegoke, MD MPH 15290 Pennock Ln, Apple Valley, MN 55124-7163 Ph: (952) 853-8800 |
Jeffrey R Michell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4177 | |
Stephen Joseph Craane, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Todd Joseph Stolpman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-432-6161 Fax: 952-432-7019 | |
Holly A Hett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-432-6161 Fax: 952-432-7019 | |
David P Dillon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
April Coming Hay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100 | |
Christopher Balgobin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100 |