2202 BUECHEL AVE STE 105
LOUISVILLE, KY 40218-2672 US PECOS Enrolled
Osawaru Jude OmoruyI
Family Medicine Physician
- LOUISVILLE, KY
- Phone: (502)-367-3360
- Last Updated 5/7/2021
Overview
Osawaru Jude OmoruyI is a Family Medicine Physician in the LOUISVILLE area and has over 26 years of experience. Osawaru Jude OmoruyI primary office location is at 2202 BUECHEL AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1998
Osawaru Jude OmoruyI is affiliated with eight hospitals in the LOUISVILLE area, including . The NPI number is 1396961967 and the information was updated approximately 3 years ago.
Osawaru Jude OmoruyI is affiliated with one medical group in the LOUISVILLE area, PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 01066757A | IN |
| 35.088666 | OH |
| 42023 | KY |
| Board Certifications |
|---|
| Family Medicine |
| Geriatric Medicine |
| Hospice and Palliative Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 2009500930 | IN |
| MEDICAID | 7100072730 | KY |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20090325000174 |
| PECOS Individual PAC ID: | 8921190992 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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