Olukemi Ajibola, in Mequon, WI - Medicare Physician Assistant

Olukemi Ajibola, is a medicare enrolled "Physician Assistant" in Mequon, Wisconsin. Her current practice location is 10600 N Port Washington Rd Ste 200, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 240-3100.

Olukemi Ajibola is licensed to practice in Wisconsin (license number 7202-023) 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 1285021121.

Contact Information

	Olukemi Ajibola,
	10600 N Port Washington Rd Ste 200, Mequon, WI 53092-5084
	(262) 240-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Olukemi Ajibola
Gender	Female
Speciality	Physician Assistant
Location	10600 N Port Washington Rd Ste 200, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285021121
Provider Enumeration Date: 04/17/2015
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6800117052
Enrollment ID: I20230228000767

Medical Identifiers

Medical identifiers for Olukemi Ajibola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285021121	NPI	-	NPPES
100227402	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	52375 (California)	Secondary
363A00000X	Physician Assistant	7202-023 (Wisconsin)	Primary

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. Olukemi Ajibola 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
Olukemi Ajibola, N53w15851 Creekwood Xing, Menomonee Falls, WI 53051-0610 Ph: (262) 844-7757	Olukemi Ajibola, 10600 N Port Washington Rd Ste 200, Mequon, WI 53092-5084 Ph: (262) 240-3100

Reviews and Comments

Physician Assistant Nurses in Mequon, WI

Katharine W. Schenck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097 Phone: 262-243-5044 Fax: 262-243-2510
Camrin Jade Dressel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13133 N Port Washington Rd Ste G-18, Mequon, WI 53097 Phone: 262-243-5000
Jocelyn Marie Seppala, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151
Lorraine Witt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd Ste G16, Mequon, WI 53097 Phone: 262-243-2500 Fax: 262-243-5395
Terry Jerome Voelske, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-387-8200
Victoria E Rizk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 414-290-6720 Fax: 414-290-6755

Olukemi Ajibola, - Medicare Physician Assistant in Mequon, WI