Dr Jacob T Abraham, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Wakefield, Rhode Island. He went to Meharry Medical College School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice East Bay Community Action Program and his current practice location is
24 Salt Pond Rd, Suite D-4, Wakefield, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 789-3694.
Dr Jacob T Abraham is licensed to practice in Rhode Island (license number MD09004) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689732497.
Physician's Profile
| Full Name | Dr Jacob T Abraham |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 34 Years |
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| Location | 24 Salt Pond Rd, Wakefield, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacob T Abraham attended and graduated from Meharry Medical College School Of Medicine in 1990
NPI Data:
- NPI Number: 1689732497
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 12/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406994870
- Enrollment ID: I20091105000472
Medical Identifiers
Medical identifiers for Dr Jacob T Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689732497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD09004 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| East Bay Community Action Program | 1951298595 | 31 |
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. Dr Jacob T Abraham allows following entities to bill medicare on his behalf.
| Entity Name | East Bay Community Action Program |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609925122
PECOS PAC ID: 1951298595
Enrollment ID: O20040301000102 |
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| Entity Name | Child And Family Services Of Newport County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063425189
PECOS PAC ID: 5991768327
Enrollment ID: O20041108000288 |
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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. Dr Jacob T Abraham 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 |
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Dr Jacob T Abraham, MD
25 Blue Heron Road,
South Kingstown, RI 02879
Ph: (401) 783-1637 | Dr Jacob T Abraham, MD
24 Salt Pond Rd, Suite D-4,
Wakefield, RI 02879-4314
Ph: (401) 789-3694 |
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