Abidemi Mary Ajuwon, APRN, CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in West Lafayette, Indiana. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trustees Of Purdue University and 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
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 1437497864.
Provider's Profile
| Full Name | Abidemi Mary Ajuwon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3420 Cinnabar St, West Lafayette, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Abidemi Mary Ajuwon graduated from nursing school in 2024
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Trustees Of Purdue University | 2567373012 | 30 |
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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