Bola T Mobolaji, CRNP in Philipsburg, PA - Medicare Nurse Practitioner

Bola T Mobolaji, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philipsburg, Pennsylvania. Her current practice location is 1169 Philipsburg Bigler Hwy, Philipsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (203) 606-3335.

Bola T Mobolaji is licensed to practice in Pennsylvania (license number SP023111) 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 1861921900.

Contact Information

	Bola T Mobolaji, CRNP
	1169 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8251
	(203) 606-3335
	Not Available

Map and Direction

Provider's Profile

Full Name	Bola T Mobolaji
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1169 Philipsburg Bigler Hwy, Philipsburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861921900
Provider Enumeration Date: 06/11/2017
Last Update Date: 02/08/2021

Medicare PECOS Information:

PECOS PAC ID: 6709147010
Enrollment ID: I20180301002005

Medical Identifiers

Medical identifiers for Bola T Mobolaji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861921900	NPI	-	NPPES
SP017427	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SP017427 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP023111 (Pennsylvania)	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. Bola T Mobolaji allows following entities to bill medicare on her behalf.

Entity Name	Sound Mind Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669907697 PECOS PAC ID: 0446513055 Enrollment ID: O20180412002745

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. Bola T Mobolaji 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
Bola T Mobolaji, CRNP 1169 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8251 Ph: (203) 606-3335	Bola T Mobolaji, CRNP 1169 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8251 Ph: (203) 606-3335

Reviews and Comments

Nurse Practitioner Nurses in Philipsburg, PA

Brandon David Swisher, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 N Front St, Philipsburg, PA 16866 Phone: 814-342-2333 Fax: 814-342-2277
Emily M. Warrick, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Front St, Philipsburg, PA 16866 Phone: 814-342-2333 Fax: 814-342-2277
Mr. Akinola Mobolaji, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 N Front St, Ste 301, Philipsburg, PA 16866 Phone: 800-370-3651 Fax: 860-510-0020
Mrs. Sandra Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 N Front St, Philipsburg, PA 16866 Phone: 814-342-2333 Fax: 814-342-2277
Cydnee Sankey-deemer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 Railroad St, Philipsburg, PA 16866 Phone: 814-342-1872
Tiffany Cragan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 N Front St, Philipsburg, PA 16866 Phone: 814-342-2333 Fax: 814-342-2277
Matthew J Rohrbacker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 N Front St Ste 2, Philipsburg, PA 16866 Phone: 814-376-6200 Fax: 814-376-6215

Bola T Mobolaji, CRNP - Medicare Nurse Practitioner in Philipsburg, PA