| Dr Omolola Oladunni Idowu, MD | |
|
2500 N State St, Suite B319, Jackson, MS 39216-4500 | |
| (601) 948-5022 | |
| Not Available |
| Full Name | Dr Omolola Oladunni Idowu |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology - Glaucoma Specialist |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194910448 | NPI | - | NPPES |
| 09053511 | Medicaid | MS | |
| P0787985 | Other | MS | RAILROAD MEDICARE |
| 1338435 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 20872 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omolola Oladunni Idowu, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5017 | Dr Omolola Oladunni Idowu, MD 2500 N State St, Suite B319, Jackson, MS 39216-4500 Ph: (601) 948-5022 |
Dr. Nils K Mungan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5024 Fax: 601-815-3773 | |
Dr. Taylor Franklin Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-714-5110 | |
Linda P Brodell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6426 | |
Dr. Ricky Gordon Russell, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 501 Marshall St, Suite 603, Jackson, MS 39202 Phone: 601-985-9120 Fax: 601-985-9122 | |
Charles Daniel Mcguffey, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 | |
Dr. Victor John Ford Iii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St Ste 330, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-714-5110 | |
Dr. Robert O May Sr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1190 N State St, Ste 403, Jackson, MS 39202 Phone: 601-353-2020 Fax: 601-714-5110 |