Mobolanle Asope Elder, MD is a medicare enrolled "Pediatrics" physician in Versailles, Kentucky. Her current practice location is
360 Amsden Ave Ste 200, Versailles, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 873-3570.
Mobolanle Asope Elder is licensed to practice in Kentucky (license number 56363) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245896224.
Physician's Profile
Full Name | Mobolanle Asope Elder |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 360 Amsden Ave Ste 200, Versailles, Kentucky |
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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: 1245896224
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 03/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971986795
- Enrollment ID: I20220811001843
Medical Identifiers
Medical identifiers for Mobolanle Asope Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245896224 | NPI | - | NPPES |
7100744080 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 56363 (Kentucky) | 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. Mobolanle Asope Elder allows following entities to bill medicare on her behalf.
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
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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. Mobolanle Asope Elder 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 |
Mobolanle Asope Elder, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Mobolanle Asope Elder, MD 360 Amsden Ave Ste 200, Versailles, KY 40383-1851 Ph: (859) 873-3570 |
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