| Dr Suwebatu T Odunsi-shiyanbade, MD | |
|
647 N Miller Rd Ste B, Mansfield, TX 76063-6180 | |
| (817) 760-7969 | |
| (817) 760-7976 |
| Full Name | Dr Suwebatu T Odunsi-shiyanbade |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 22 Years |
| Location | 647 N Miller Rd Ste B, Mansfield, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427141746 | NPI | - | NPPES |
| P0147446 | Other | TX | DPS |
| M4404 | Other | TX | MEDICAL LICENSE |
| 638925000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M4404 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Digestive Disease Consultants, Pllc | 3375531379 | 566 |
| Entity Name | Texas Digestive Disease Consultants, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suwebatu T Odunsi-shiyanbade, MD Po Box 35629, Dallas, TX 75235-0629 Ph: (214) 424-2213 | Dr Suwebatu T Odunsi-shiyanbade, MD 647 N Miller Rd Ste B, Mansfield, TX 76063-6180 Ph: (817) 760-7969 |
Gretchen M Bures, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000 | |
Dr. John Ira Thurmond, MD. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570 | |
Michael G Mcinnis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 252 Matlock Rd, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186 | |
Theophilus Tolulope Ogungbamigbe, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Bankston Ln, Mansfield, TX 76063 Phone: 785-354-9591 | |
Hiral Vishal Thakkar, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000 | |
Jaremy Emer James, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 252 Matlock Road, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186 | |
Natasha Caballero, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-532-6470 |