| Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER | |
|
20 Research Parkway, Old Saybrook, CT 06475 | |
| (800) 370-3651 | |
| (860) 370-3651 |
| Full Name | Dr Omotayo Elizabeth Awujoola |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 20 Research Parkway, Old Saybrook, Connecticut |
| 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 |
|---|---|---|---|
| 1194932392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00675000 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NR14090700 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihpnj Er Llc | 3870963168 | 31 |
| Nj Memory And Behavioral Care | 7719013267 | 68 |
| Entity Name | Nj Memory And Behavioral Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538499181 PECOS PAC ID: 7719013267 Enrollment ID: O20100413000027 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Entity Name | It Takes A Family |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336302678 PECOS PAC ID: 2365624608 Enrollment ID: O20110413000086 |
| Entity Name | Stable Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568885663 PECOS PAC ID: 9436374022 Enrollment ID: O20140716000781 |
| Entity Name | Ihpnj Er Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225750946 PECOS PAC ID: 3870963168 Enrollment ID: O20230103000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER 20 Research Pkwy, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 | Dr Omotayo Elizabeth Awujoola, NURSE PRACTITIONER 20 Research Parkway, Old Saybrook, CT 06475 Ph: (800) 370-3651 |
Katherine Lm Bender, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Main St, Old Saybrook, CT 06475 Phone: 860-391-0474 Fax: 860-744-9894 | |
Catherine Catti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Cheryl Cuozzo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1687 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-661-5976 Fax: 860-358-8664 | |
Marylou Cowles, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Danil Anisimov, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Laura Rydelek Fitzgerald, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Boston Post Rd, Old Saybrook, CT 06475 Phone: 734-732-7898 | |
Debora Ouellette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Research Pkwy, Old Saybrook, CT 06475 Phone: 800-370-3651 |