| Omoyemi Idowu Oenick, DO | |
|
3636 High St, Portsmouth, VA 23707-3236 | |
| (757) 398-2285 | |
| (757) 397-5368 |
| Full Name | Omoyemi Idowu Oenick |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3636 High St, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861020026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 0102207598 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 0102207598 (Virginia) | Primary |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Omoyemi Idowu Oenick, DO 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2285 | Omoyemi Idowu Oenick, DO 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2285 |
Dr. Imtiaz Zaman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally Gene Tamayo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |