Jibrin Akinkuolie, in North East, MD - Medicare Physical Therapist Provider

Jibrin Akinkuolie, is a medicare enrolled "Physical Therapist" provider in North East, Maryland. His current practice location is 2314 Pulaski Hwy Ste A, North East, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 287-2940.

Jibrin Akinkuolie is licensed to practice in * (Not Available) (license number ) 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 1639813769.

Contact Information

	Jibrin Akinkuolie,
	2314 Pulaski Hwy Ste A, North East, MD 21901-3730
	(410) 287-2940
	(410) 287-2941

Map and Direction

Healthcare Provider's Profile

Full Name	Jibrin Akinkuolie
Gender	Male
Speciality	Physical Therapist
Location	2314 Pulaski Hwy Ste A, North East, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639813769
Provider Enumeration Date: 04/25/2022
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1052758653
Enrollment ID: I20240319000725

Medical Identifiers

Medical identifiers for Jibrin Akinkuolie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639813769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Maryland)	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. Jibrin Akinkuolie allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349

Provider Name	Ati Holdings, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321

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. Jibrin Akinkuolie 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
Jibrin Akinkuolie, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Jibrin Akinkuolie, 2314 Pulaski Hwy Ste A, North East, MD 21901-3730 Ph: (410) 287-2940

Reviews and Comments

Physical Therapist in North East, MD

Kathleen Miller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441
Holly Shane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2314 Pulaski Hwy, Suite A, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941
Dr. Sean Michael Peden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960
David Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441
Margaret Steller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940 Fax: 410-287-2941
Michelle Thompson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2540 Pulaski Hwy Ste B, North East, MD 21901 Phone: 410-339-1960 Fax: 443-941-9441
Joseph George Kalathil, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2314 Pulaski Hwy, North East, MD 21901 Phone: 410-287-2940

Jibrin Akinkuolie, - Medicare Physical Therapist in North East, MD