Gbemisola Elizabeth Mojelope, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West River, Maryland. Her current practice location is
134 Owensville Rd, West River, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 867-4700.
Gbemisola Elizabeth Mojelope is licensed to practice in Maryland (license number R162352) 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 1659632925.
Provider's Profile
| Full Name | Gbemisola Elizabeth Mojelope |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 134 Owensville Rd, West River, Maryland |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659632925
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183052178
- Enrollment ID: I20200325003756
Medical Identifiers
Medical identifiers for Gbemisola Elizabeth Mojelope such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659632925 | NPI | - | NPPES |
| 2019049162 | Other | MD | ANCC |
| R162352 | Other | MD | MARYLAND BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN1034113 (District Of Columbia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R162352 (Maryland) | 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. Gbemisola Elizabeth Mojelope allows following entities to bill medicare on her behalf.
| Entity Name | Pace Neuro Health Tms Centers Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093200511 PECOS PAC ID: 4880027754 Enrollment ID: O20191206000996 |
|---|
| Entity Name | Outreach Recovery Ii, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427541838 PECOS PAC ID: 5294166302 Enrollment ID: O20210217000254 |
|---|
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. Gbemisola Elizabeth Mojelope 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 |
Gbemisola Elizabeth Mojelope, PMHNP-BC 134 Owensville Rd, West River, MD 20778-9702 Ph: (410) 867-4700 | Gbemisola Elizabeth Mojelope, PMHNP-BC 134 Owensville Rd, West River, MD 20778-9702 Ph: (410) 867-4700 |
Reviews and Comments