Mr Anthony Ogbodo, | |
350 S Oak Ave, Oakdale, CA 95361-3519 | |
(209) 847-3011 | |
Not Available |
Full Name | Mr Anthony Ogbodo |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 350 S Oak Ave, Oakdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063884625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95002864 (California) | Primary |
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
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Mr Anthony Ogbodo, 350 S Oak Ave, Oakdale, CA 95361-3519 Ph: (209) 847-3011 | Mr Anthony Ogbodo, 350 S Oak Ave, Oakdale, CA 95361-3519 Ph: (209) 847-3011 |
Joanne Mccartney, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Laurel Avenue, Oakdale, CA 95361 Phone: 209-847-0864 Fax: 209-847-7439 | |
Kenneth Wayne Erickson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-4180 Fax: 209-848-5337 | |
Ms. Dixie Ann Fisher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-5336 Fax: 209-848-5338 | |
Ms. Susan Jean Mealy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-848-4180 Fax: 209-848-5338 | |
Rashika Virdi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 Triple Crown Ct, Oakdale, CA 95361 Phone: 209-404-3066 | |
Brandy Gleason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Kiso Ct, Oakdale, CA 95361 Phone: 206-840-0235 |