Mutiat Ajibade, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phialdelphia, Pennsylvania. 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.
Provider's Profile
Full Name | Mutiat Ajibade |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1401 S. 31 Street, Phialdelphia, Pennsylvania |
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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:
- Mutiat Ajibade attended and graduated from in
NPI Data:
- NPI Number: 1407480155
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mutiat Ajibade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407480155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP021594 (Pennsylvania) | Primary |
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 Address | Practice 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 |
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