| Omoniyi Tunde Modupe, DNP-CRNA | |
|
1 Cooper Plz Dept Of, Camden, NJ 08103-1461 | |
| (856) 342-2425 | |
| Not Available |
| Full Name | Omoniyi Tunde Modupe |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1 Cooper Plz Dept Of, Camden, New Jersey |
| 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 |
|---|---|---|---|
| 1942972690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN685335 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ15060600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Temple University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1191 |
| Society Hill Anesthesia Consultants Pc | 5991617292 | 205 |
| Rgal Anesthesia Services Llc | 7517130602 | 119 |
| Entity Name | Society Hill Anesthesia Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358 |
| Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
| Entity Name | Rgal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Omoniyi Tunde Modupe, DNP-CRNA 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (482) 886-9358 | Omoniyi Tunde Modupe, DNP-CRNA 1 Cooper Plz Dept Of, Camden, NJ 08103-1461 Ph: (856) 342-2425 |
Winter E. Skelly, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 | |
Balaishe Boakai Ballo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Haddon Ave Fl 3, Camden, NJ 08103 Phone: 856-988-6260 Fax: 856-988-6270 | |
Michael Phillip Hoess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2425 | |
Amy Tsao, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-382-6500 | |
Maria Dinnah Eclavia-dy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103 Phone: 856-342-2425 | |
Laura Faust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 | |
Amy O'donnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425 |