Ajith Abraham, PMHNP - Medicare Nurse Practitioner in Durham, NC

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Ajith Abraham, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Durham, North Carolina. His current practice location is 4819 Emperor Blvd Ste 400, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 646-6563.

Ajith Abraham is licensed to practice in North Carolina (license number 5016227) 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 1053983098.

Contact Information

Ajith Abraham, PMHNP
4819 Emperor Blvd Ste 400,
Durham, NC 27703-5420
(919) 646-6563
(919) 551-7592

Map and Direction




Provider's Profile

Full NameAjith Abraham
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4819 Emperor Blvd Ste 400, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053983098
  • Provider Enumeration Date: 07/10/2021
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204218142
  • Enrollment ID: I20220809001432

Medical Identifiers

Medical identifiers for Ajith Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053983098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024182168 (Virginia)Secondary
163W00000XRegistered Nurse 284170 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5016227 (North Carolina)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. Ajith Abraham allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221208000188
Entity NameSerene Minds Mental Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912785452
PECOS PAC ID: 6002254398
Enrollment ID: O20240405000565

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. Ajith 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
Ajith Abraham, PMHNP
4819 Emperor Blvd Ste 400,
Durham, NC 27703-5420

Ph: (919) 646-6563		Ajith Abraham, PMHNP
4819 Emperor Blvd Ste 400,
Durham, NC 27703-5420

Ph: (919) 646-6563

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.