Dr Tolulope A Ilori, DPT is a medicare enrolled "Physical Therapist" physician in Southfield, Michigan. His current practice location is
24361 Greenfield Rd, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 443-7331.
Dr Tolulope A Ilori is licensed to practice in Michigan (license number 5501008050) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619260528.
Physician's Profile
Full Name | Dr Tolulope A Ilori |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 24361 Greenfield Rd, Southfield, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619260528
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 05/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527237940
- Enrollment ID: I20110801000670
Medical Identifiers
Medical identifiers for Dr Tolulope A Ilori such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619260528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 5501008050 (Michigan) | Secondary |
225100000X | Physical Therapist | 5501008050 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tolulope A Ilori allows following entities to bill medicare on his behalf.
Entity Name | Therapy Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
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Entity Name | Tmi East Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tolulope A Ilori is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tolulope A Ilori, DPT 18570 Capitol Dr, Southfield, MI 48075-2609 Ph: () - | Dr Tolulope A Ilori, DPT 24361 Greenfield Rd, Southfield, MI 48075-3139 Ph: (248) 443-7331 |
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