Kazeem Agboola, DPT in Detroit, MI - Medicare Physical Therapist Provider

Kazeem Agboola, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Detroit, Michigan. His current practice location is 14058 W Mcnichols Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 659-6847.

Kazeem Agboola is licensed to practice in Michigan (license number 5501006794) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972960821.

Contact Information

	Kazeem Agboola, DPT
	14058 W Mcnichols Rd, Detroit, MI 48235-3928
	(313) 659-6847
	(313) 659-6867

Map and Direction

Healthcare Provider's Profile

Full Name	Kazeem Agboola
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	14058 W Mcnichols Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972960821
Provider Enumeration Date: 01/23/2016
Last Update Date: 01/23/2016

Medicare PECOS Information:

PECOS PAC ID: 6305137217
Enrollment ID: I20160624000146

Medical Identifiers

Medical identifiers for Kazeem Agboola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972960821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	5501006794 (Michigan)	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. Kazeem Agboola allows following entities to bill medicare on his behalf.

Provider Name	Ideal Physical Therapy Services,inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477913127 PECOS PAC ID: 7214228121 Enrollment ID: O20160624000030

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. Kazeem Agboola 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
Kazeem Agboola, DPT 14058 W Mcnichols Rd, Detroit, MI 48235-3928 Ph: (313) 659-6847	Kazeem Agboola, DPT 14058 W Mcnichols Rd, Detroit, MI 48235-3928 Ph: (313) 659-6847

Reviews and Comments

Physical Therapist in Detroit, MI

Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174
Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309
Mr. Olugesin Akande, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20122 W Mcnichols Rd, Detroit, MI 48219 Phone: 313-538-0140 Fax: 313-538-0147
Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114
Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744
Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233
Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100

Kazeem Agboola, DPT - Medicare Physical Therapist in Detroit, MI