Austin Agbonifo, in Roxbury, MA - Medicare Nurse Practitioner

Austin Agbonifo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roxbury, Massachusetts. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Behavioral Health Network Inc, Community Caring Clinic Llc and his current practice location is 36 Westminster Ct Apt E36, Roxbury, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (857) 498-4939.

Austin Agbonifo is licensed to practice in Massachusetts (license number RN2312537) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1750927489.

Contact Information

	Austin Agbonifo,
	36 Westminster Ct Apt E36, Roxbury, MA 02119-1192
	(857) 498-4939
	Not Available

Map and Direction

Provider's Profile

Full Name	Austin Agbonifo
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	36 Westminster Ct Apt E36, Roxbury, Massachusetts
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Austin Agbonifo graduated from nursing school in 2019

NPI Data:

NPI Number: 1750927489
Provider Enumeration Date: 11/18/2019
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3072929314
Enrollment ID: I20210310002203

Medical Identifiers

Medical identifiers for Austin Agbonifo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750927489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2312537 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Behavioral Health Network Inc	3072596360	80
Community Caring Clinic Llc	6002158987	3

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. Austin Agbonifo allows following entities to bill medicare on his behalf.

Entity Name	Behavioral Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373

Entity Name	Mental Health Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285104141 PECOS PAC ID: 6305186784 Enrollment ID: O20190321001439

Entity Name	Community Caring Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184112377 PECOS PAC ID: 6002158987 Enrollment ID: O20190424001826

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. Austin Agbonifo 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
Austin Agbonifo, 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 Ph: (857) 498-4939	Austin Agbonifo, 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 Ph: (857) 498-4939

Reviews and Comments

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Austin Agbonifo, - Medicare Nurse Practitioner in Roxbury, MA