Abraham Abegunde, APRN (PMHNP) in Fort Defiance, AZ

Abraham Abegunde, APRN (PMHNP) is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Abraham Abegunde is licensed to practice in Texas (license number 1034518) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841773504.

Contact Information

	Abraham Abegunde, APRN (PMHNP)
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Abraham Abegunde
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841773504
Provider Enumeration Date: 09/10/2018
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 1850758178
Enrollment ID: I20230601000646

Medical Identifiers

Medical identifiers for Abraham Abegunde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841773504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1034518 (Texas)	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. Abraham Abegunde allows following entities to bill medicare on his behalf.

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

Entity Name	Shahla Ali Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841605706 PECOS PAC ID: 4587971452 Enrollment ID: O20150910000954

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. Abraham Abegunde 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
Abraham Abegunde, APRN (PMHNP) Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Abraham Abegunde, APRN (PMHNP) Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Nurse Practitioner Nurses in Fort Defiance, AZ

Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775
Connie M Ebach, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Stacy-ann Shand, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Kathryn Barron, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821
June Ellen Rhoda, APRN-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Abraham Abegunde, APRN (PMHNP) - Medicare Nurse Practitioner in Fort Defiance, AZ