Oluwaseun D Ajifowobaje, is a medicare enrolled "Physical Therapist" physician in Astoria, New York. His current practice location is
3244 31st St, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 707-6970.
Oluwaseun D Ajifowobaje is licensed to practice in New York (license number 041656) 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 1619492865.
Physician's Profile
Full Name | Oluwaseun D Ajifowobaje |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3244 31st St, Astoria, New York |
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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: 1619492865
- Provider Enumeration Date: 08/09/2017
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517226392
- Enrollment ID: I20210201000067
Medical Identifiers
Medical identifiers for Oluwaseun D Ajifowobaje such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619492865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0904X | Radiology - Nuclear Radiology | 26845 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 26845 (Maryland) | Secondary |
225100000X | Physical Therapist | 041656 (New York) | 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. Oluwaseun D Ajifowobaje allows following entities to bill medicare on his behalf.
Entity Name | Shawn Dhillon Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932186764 PECOS PAC ID: 8527074699 Enrollment ID: O20060227000427 |
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Entity Name | Bls Diagnostics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013259084 PECOS PAC ID: 5193963692 Enrollment ID: O20130522000412 |
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Entity Name | Forever Fit Physical Therapy & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538489802 PECOS PAC ID: 1153513122 Enrollment ID: O20170411001566 |
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Entity Name | Medstar Health Physical Therapy At Home Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891472684 PECOS PAC ID: 7012379134 Enrollment ID: O20230821003710 |
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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. Oluwaseun D Ajifowobaje 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 |
Oluwaseun D Ajifowobaje, 3244 31st St, Astoria, NY 11106-2561 Ph: (718) 707-6970 | Oluwaseun D Ajifowobaje, 3244 31st St, Astoria, NY 11106-2561 Ph: (718) 707-6970 |
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