Motunrayo Dipeolu, CRNP-FAMILY is a medicare enrolled "Nurse Practitioner - Family" physician in Baltimore, Maryland. She went to Georgetown University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baltimore Medical System, Inc. and her current practice location is
3120 Erdman Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 558-4800.
Motunrayo Dipeolu is licensed to practice in Maryland (license number R196260) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265925580.
Physician's Profile
Full Name | Motunrayo Dipeolu |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 3120 Erdman Ave, Baltimore, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Motunrayo Dipeolu attended and graduated from Georgetown University School Of Medicine in 2013
NPI Data:
- NPI Number: 1265925580
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365793015
- Enrollment ID: I20180919004040
Medical Identifiers
Medical identifiers for Motunrayo Dipeolu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265925580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R196260 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R196260 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Baltimore Medical System, Inc. | 5395653455 | 51 |
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. Motunrayo Dipeolu allows following entities to bill medicare on her behalf.
Entity Name | Baltimore Medical System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191003001442 |
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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. Motunrayo Dipeolu 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 |
Motunrayo Dipeolu, CRNP-FAMILY 2 Gwynn Lake Dr, Gwynn Oak, MD 21207-6014 Ph: () - | Motunrayo Dipeolu, CRNP-FAMILY 3120 Erdman Ave, Baltimore, MD 21213-1720 Ph: (410) 558-4800 |
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