| Olusegun Ogunfowora, MD | |
|
529 Beach 20th St, Far Rockaway, NY 11691-3645 | |
| (718) 327-7307 | |
| Not Available |
| Full Name | Olusegun Ogunfowora |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 529 Beach 20th St, Far Rockaway, New York |
| 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 |
|---|---|---|---|
| 1275602963 | NPI | - | NPPES |
| 01775084 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 206115-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multiviz Medical Services Pc | 1557274735 | 27 |
| Visavis Health Care Medical Group Of Ny, Pllc | 3870923519 | 5 |
| Entity Name | Abiola Familusi |
|---|---|
| Entity Type | Practitioner - Internal Medicine |
| Entity Identifiers | NPI Number: 1649351214 PECOS PAC ID: 5890608079 Enrollment ID: I20041012000584 |
| Entity Name | Multiviz Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720373293 PECOS PAC ID: 1557274735 Enrollment ID: O20031112000674 |
| Entity Name | Progressive Care Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295263796 PECOS PAC ID: 7113298209 Enrollment ID: O20170808002403 |
| Entity Name | Visavis Health Care Medical Group Of Ny, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194350066 PECOS PAC ID: 3870923519 Enrollment ID: O20200423001785 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250122000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Olusegun Ogunfowora, MD 529 Beach 20th St, Far Rockaway, NY 11691-3645 Ph: (718) 327-7307 | Olusegun Ogunfowora, MD 529 Beach 20th St, Far Rockaway, NY 11691-3645 Ph: (718) 327-7307 |
Daniel Buff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th Street, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Dr. Albert Baravarian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Mohammad Rao, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Raiyan Ishraque Deepon, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Beach 48th St, Far Rockaway, NY 11691 Phone: 516-862-1600 | |
Dr. Olutayo Olaide Olasupo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Dr. Jameela Jahaan Yusuff, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1920 Brookhaven Ave, Far Rockaway, NY 11691 Phone: 718-347-3627 Fax: 347-619-9092 | |
Israel Brafman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1159 Beach 9th Street, Far Rockaway, NY 11691 Phone: 718-471-2455 |