| Yetunde O Orimogunje, MD | |
|
1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | |
| (770) 277-3056 | |
| (855) 204-5244 |
| Full Name | Yetunde O Orimogunje |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 1000 Medical Center Blvd, Lawrenceville, Georgia |
| 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 |
|---|---|---|---|
| 1871617274 | NPI | - | NPPES |
| 227142336C | Medicaid | GA | |
| 227142336A | Medicaid | GA | |
| 415429 | Other | GA | WELLCARE |
| 52231382001 | Other | GA | BCBS OF GA |
| 227142336B | Medicaid | GA | |
| P00457334 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 92878 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 059576 (Georgia) | Primary |
| 207L00000X | Anesthesiology | 240933 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Johns Creek Hospital | Johns creek, GA | Hospital |
| Coliseum Northside Hospital | Macon, GA | Hospital |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Yetunde O Orimogunje, MD Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Yetunde O Orimogunje, MD 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 Ph: (770) 277-3056 |
Dr. Robert E Black Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Craig M Spector, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 770-963-9905 | |
Dr. Tao Hong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 | |
Dr. Nazanin Jafarian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Jeffrey N Gladstein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Eric Benjamin Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 713-822-2421 | |
Kevin Everett, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 Fax: 678-312-3282 |