Mutiatu Modupe Moibi, - Medicare Nurse Practitioner in Chicago, IL

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Mutiatu Modupe Moibi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chicago, Illinois. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Paragon Clinical Llc and her current practice location is 4621 N Racine Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 784-2300.

Mutiatu Modupe Moibi is licensed to practice in Illinois (license number 209030990) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831999176.

Contact Information

Mutiatu Modupe Moibi,
4621 N Racine Ave,
Chicago, IL 60640-4905
(773) 784-2300
Not Available

Map and Direction




Provider's Profile

Full NameMutiatu Modupe Moibi
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location4621 N Racine Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mutiatu Modupe Moibi graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1831999176
  • Provider Enumeration Date: 03/17/2025
  • Last Update Date: 03/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870069420
  • Enrollment ID: I20260421000195

Medical Identifiers

Medical identifiers for Mutiatu Modupe Moibi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831999176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209030990 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Clinical Llc721403492515

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. Mutiatu Modupe Moibi allows following entities to bill medicare on her behalf.
Entity NameParagon Clinical LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20070515000051

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. Mutiatu Modupe Moibi 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
Mutiatu Modupe Moibi,
5336 Davis St,
Skokie, IL 60077-1535

Ph: (773) 615-6099		Mutiatu Modupe Moibi,
4621 N Racine Ave,
Chicago, IL 60640-4905

Ph: (773) 784-2300

Reviews and Comments


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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).

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