Pratibha Mary Abraham, MD - Medicare Endocrinology in Fenton, MO

Pratibha Mary Abraham, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Fenton, Missouri. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Ssm Medical Group Inc and her current practice location is 1011 Bowles Ave Ste 300, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 496-5048.

Pratibha Mary Abraham is licensed to practice in Missouri (license number 2018032435) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336589118.

Contact Information

Pratibha Mary Abraham, MD
1011 Bowles Ave Ste 300,
Fenton, MO 63026-2387
(636) 496-5048
Not Available

Map and Direction




Physician's Profile

Full NamePratibha Mary Abraham
GenderFemale
SpecialityEndocrinology
Experience14 Years
Location1011 Bowles Ave Ste 300, Fenton, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pratibha Mary Abraham graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1336589118
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 11/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294037933
  • Enrollment ID: I20181229000090

Medical Identifiers

Medical identifiers for Pratibha Mary Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336589118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 2018032435 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299491

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. Pratibha Mary Abraham allows following entities to bill medicare on her behalf.
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034

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. Pratibha Mary 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 AddressPractice Location Address
Pratibha Mary Abraham, MD
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -
Pratibha Mary Abraham, MD
1011 Bowles Ave Ste 300,
Fenton, MO 63026-2387

Ph: (636) 496-5048

Reviews and Comments


Internal Medicine Doctors in Fenton, MO

Dr. Gregorius Resuma Penilla, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5040    
Dr. Stephanie Jean Becker-koepke, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Jeffrey J Hallazgo, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026
Phone: 636-326-6100    Fax: 636-326-6110
Dr. Mansoor Ul Haq, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Abdul Rehman Rishi, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    
Timothy James Pratt, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: May Accept Medicare Assignments
Practice Location: 1011 Bowles Avenue, Suite 121, Fenton, MO 63026
Phone: 314-766-2066    Fax: 636-326-1802
Edward Reh, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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