Abidemi Mary Ajuwon, APRN, CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in West Lafayette, Indiana. Her current practice location is
3420 Cinnabar St, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 838-0434.
Abidemi Mary Ajuwon is licensed to practice in Indiana (license number 28176442A) 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 1437497864.
Provider's Profile
| Full Name | Abidemi Mary Ajuwon |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 3420 Cinnabar St, West Lafayette, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437497864
- Provider Enumeration Date: 01/18/2013
- Last Update Date: 01/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527291764
- Enrollment ID: I20250605003276
Medical Identifiers
Medical identifiers for Abidemi Mary Ajuwon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437497864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 28176442A (Indiana) | 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. Abidemi Mary Ajuwon allows following entities to bill medicare on her behalf.
| Entity Name | Trustees Of Purdue University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619055712
PECOS PAC ID: 2567373012
Enrollment ID: O20200821001390 |
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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. Abidemi Mary Ajuwon 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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Abidemi Mary Ajuwon, APRN, CNS
3420 Cinnabar St,
West Lafayette, IN 47906-7208
Ph: (765) 838-0434 | Abidemi Mary Ajuwon, APRN, CNS
3420 Cinnabar St,
West Lafayette, IN 47906-7208
Ph: (765) 838-0434 |
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