Mofolasayo Motunrayo Adeniyi, MD - Medicare Pediatrics in Wilkes Barre, PA

Mofolasayo Motunrayo Adeniyi, MD is a medicare enrolled "Pediatrics" physician in Wilkes Barre, Pennsylvania. Her current practice location is 175 S Wilkes Barre Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 829-2621.

Mofolasayo Motunrayo Adeniyi is licensed to practice in Pennsylvania (license number MD479433) 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 1831610724.

Contact Information

Mofolasayo Motunrayo Adeniyi, MD
175 S Wilkes Barre Blvd,
Wilkes Barre, PA 18702-5040
(570) 829-2621
(570) 823-4332



Physician's Profile

Full NameMofolasayo Motunrayo Adeniyi
GenderFemale
SpecialityPediatrics
Location175 S Wilkes Barre Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831610724
  • Provider Enumeration Date: 06/29/2017
  • Last Update Date: 12/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901227743
  • Enrollment ID: I20200602002466

Medical Identifiers

Medical identifiers for Mofolasayo Motunrayo Adeniyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831610724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 29560 (West Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics MD479433 (Pennsylvania)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. Mofolasayo Motunrayo Adeniyi allows following entities to bill medicare on her behalf.
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194759290
PECOS PAC ID: 4587568134
Enrollment ID: O20031125000177

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Entity NameWomencare Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1740450089
PECOS PAC ID: 4587568134
Enrollment ID: O20080807000128

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Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396237434
PECOS PAC ID: 4587568134
Enrollment ID: O20190517001924

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› Verified 4 days ago

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. Mofolasayo Motunrayo Adeniyi 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
Mofolasayo Motunrayo Adeniyi, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Mofolasayo Motunrayo Adeniyi, MD
175 S Wilkes Barre Blvd,
Wilkes Barre, PA 18702-5040

Ph: (570) 829-2621

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› Verified 4 days ago


Pediatrics Doctors in Wilkes Barre, PA

Dr. Jasmine Vincent, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 25 Church St, Wilkes Barre, PA 18765
Phone: 570-808-3181    
Dr. Karen Ann Ephlin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 166 Hanover St, Wilkes Barre, PA 18702
Phone: 570-808-6672    Fax: 570-808-6673
Dr. Akila Venkataraman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7300    
Mr. Leopoldo Poblete Legaspi Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 25 Church St, Wilkes Barre, PA 18702
Phone: 570-808-3100    
Dr. Jayesh B Shah, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-8653    Fax: 570-808-8658
Dr. Michelle K Sudo, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1102 Highway 315 Blvd, Wilkes Barre, PA 18702
Phone: 570-235-1470    Fax: 570-550-9356
Dr. Catherine C Muhumuza, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-8653    Fax: 570-808-8658

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