| Austin Agbonifo, | |
|
36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | |
| (857) 498-4939 | |
| Not Available |
| Full Name | Austin Agbonifo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 36 Westminster Ct Apt E36, Roxbury, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750927489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2312537 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Health Network Inc | 3072596360 | 121 |
| Community Caring Clinic Llc | 6002158987 | 7 |
| Entity Name | Behavioral Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373 |
| Entity Name | Community Caring Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184112377 PECOS PAC ID: 6002158987 Enrollment ID: O20190424001826 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Agbonifo, 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 Ph: (857) 498-4939 | Austin Agbonifo, 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 Ph: (857) 498-4939 |
Jasmine F Haque-ahmed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 | |
Sandra Mccurbin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 Phone: 617-534-9509 Fax: 617-534-9948 | |
Semere Tekie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Munroe St, Unit 2, Roxbury, MA 02119 Phone: 617-959-7911 | |
Fadzai Semwayo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 | |
Miss Claudia Isabel Marquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 | |
Eddie M Namugerwa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674 | |
Julia Deaver Arnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Malcolm X Blvd, Roxbury, MA 02120 Phone: 617-534-9951 |