Ademola Ajibade, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Morgantown, West Virginia. His current practice location is
101 Stadium Dr, Morgantown, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 598-4850.
Ademola Ajibade is licensed to practice in * (Not Available) (license number ) 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 1871243600.
Physician's Profile
Full Name | Ademola Ajibade |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 101 Stadium Dr, Morgantown, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871243600
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072045541
- Enrollment ID: I20241022003485
Medical Identifiers
Medical identifiers for Ademola Ajibade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871243600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 34047 (West Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ademola Ajibade allows following entities to bill medicare on his behalf.
Entity Name | Monongalia County General Hospital Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447673223 PECOS PAC ID: 9638073380 Enrollment ID: O20031124000459 |
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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. Ademola 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 |
Ademola Ajibade, MD 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4850 | Ademola Ajibade, MD 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4850 |
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