Dr Abimbola T Ajayi, MD - Medicare Pediatrics in West Reading, PA

Dr Abimbola T Ajayi, MD is a medicare enrolled "Pediatrics" physician in West Reading, Pennsylvania. Her current practice location is 655 Walnut St, West Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 372-9222.

Dr Abimbola T Ajayi is licensed to practice in Texas (license number L2079) 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 1407889041.

Contact Information

Dr Abimbola T Ajayi, MD
655 Walnut St,
West Reading, PA 19611-1242
(610) 372-9222
(610) 372-0232

Map and Direction




Physician's Profile

Full NameDr Abimbola T Ajayi
GenderFemale
SpecialityPediatrics
Location655 Walnut St, West Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407889041
  • Provider Enumeration Date: 07/08/2006
  • Last Update Date: 06/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4385680958
  • Enrollment ID: I20190416000182

Medical Identifiers

Medical identifiers for Dr Abimbola T Ajayi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407889041NPI-NPPES
102511442MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics L2079 (Texas)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. Dr Abimbola T Ajayi allows following entities to bill medicare on her behalf.
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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. Dr Abimbola T Ajayi 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
Dr Abimbola T Ajayi, MD
Po Box 6946,
Reading, PA 19610-0946

Ph: (610) 372-9222
Dr Abimbola T Ajayi, MD
655 Walnut St,
West Reading, PA 19611-1242

Ph: (610) 372-9222

Reviews and Comments


Pediatrics Doctors in West Reading, PA

Saroj Parida, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6th Ave & Spruce St, West Reading, PA 19611
Phone: 610-988-8843    
Olubunmi K. Ojikutu, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 206 S 6th Ave, West Reading, PA 19611
Phone: 610-988-5437    Fax: 610-988-5438
Gerard Brown, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6th Ave & Spruce St, West Reading, PA 19611
Phone: 610-988-8843    
Nina Niamkey Duke, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 301 S 7th Ave, Suite 3170, West Reading, PA 19611
Phone: 610-898-9380    Fax: 610-478-1170
Dr. Renee E Riddle, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 206 S 6th Ave, West Reading, PA 19611
Phone: 484-628-5437    
Lorie Radecki Ulmer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 301 S 7th Ave, Ste 3170, West Reading, PA 19611
Phone: 610-374-4491    Fax: 610-478-1170
Dr. Anna N/a Karasik, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 655 Walnut St, West Reading, PA 19611
Phone: 610-972-9222    Fax: 610-372-0232

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.