Mutiat Ajibade, NURSE PRACTITIONER - Medicare Nurse Practitioner in Phialdelphia, PA

  1. Home
  2. Nurse Practitioner
  3. PA
  4. Phialdelphia
Mutiat Ajibade, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phialdelphia, Pennsylvania. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastern Pennsylvania Physician Alliance, Llc and her current practice location is 1401 S. 31 Street, Phialdelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 925-2400.

Mutiat Ajibade is licensed to practice in Pennsylvania (license number SP021594) 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 1407480155.

Contact Information

Mutiat Ajibade, NURSE PRACTITIONER
1401 S. 31 Street,
Phialdelphia, PA 19146
(215) 925-2400
Not Available

Map and Direction




Provider's Profile

Full NameMutiat Ajibade
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1401 S. 31 Street, Phialdelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mutiat Ajibade graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1407480155
  • Provider Enumeration Date: 03/02/2020
  • Last Update Date: 09/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032532437
  • Enrollment ID: I20200701002602

Medical Identifiers

Medical identifiers for Mutiat Ajibade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407480155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP021594 (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. Mutiat Ajibade allows following entities to bill medicare on her behalf.
Entity NameGreater Philadelphia Health Action Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205140902
PECOS PAC ID: 9537064977
Enrollment ID: O20110602000389
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568819084
PECOS PAC ID: 5698065142
Enrollment ID: O20160613000737
Entity NameEastern Pennsylvania Physician Alliance, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902440621
PECOS PAC ID: 8325478662
Enrollment ID: O20200428001935
Entity NameEssential Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811602535
PECOS PAC ID: 2668837915
Enrollment ID: O20230420002164

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. Mutiat Ajibade 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 AddressPractice Location Address
Mutiat Ajibade, NURSE PRACTITIONER
131 Magpie Ln,
Coatesville, PA 19320-4355

Ph: (484) 250-1032		Mutiat Ajibade, NURSE PRACTITIONER
1401 S. 31 Street,
Phialdelphia, PA 19146

Ph: (215) 925-2400

Reviews and Comments


Nurse Practitioner Nurses in Phialdelphia, PA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.