Mobolaji Lipede, DPT is a medicare enrolled "Physical Therapist" physician in North Hollywood, California. Her current practice location is
11556 Burbank Blvd Apt 303, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at
(972) 352-7626.
Mobolaji Lipede is licensed to practice in * (Not Available) (license number ) 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 1073101556.
Physician's Profile
Full Name | Mobolaji Lipede |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 11556 Burbank Blvd Apt 303, North Hollywood, California |
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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: 1073101556
- Provider Enumeration Date: 01/09/2021
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587066527
- Enrollment ID: I20210713002021
Medical Identifiers
Medical identifiers for Mobolaji Lipede such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073101556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT40115 (California) | Secondary |
225100000X | Physical Therapist | (* (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. Mobolaji Lipede allows following entities to bill medicare on her behalf.
Entity Name | Santa Clarita Valley Therapy Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134253859 PECOS PAC ID: 0244294163 Enrollment ID: O20041118001212 |
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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. Mobolaji Lipede 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 |
Mobolaji Lipede, DPT 11556 Burbank Blvd Apt 303, North Hollywood, CA 91601-2351 Ph: (972) 352-7626 | Mobolaji Lipede, DPT 11556 Burbank Blvd Apt 303, North Hollywood, CA 91601-2351 Ph: (972) 352-7626 |
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