Edwin Japheth Agbonavbare, CNP in Peabody, MA

Edwin Japheth Agbonavbare, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Peabody, Massachusetts. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Valera Medical Pc, Supportive Behavioral Care Of Ma Llc, Valera Medical Pc and his current practice location is 100 Corporate Pl Ste 303, Peabody, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 640-1791.

Edwin Japheth Agbonavbare is licensed to practice in Massachusetts (license number RN2277840) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386007631.

Contact Information

	Edwin Japheth Agbonavbare, CNP
	100 Corporate Pl Ste 303, Peabody, MA 01960-3809
	(781) 640-1791
	Not Available

Map and Direction

Provider's Profile

Full Name	Edwin Japheth Agbonavbare
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	100 Corporate Pl Ste 303, Peabody, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edwin Japheth Agbonavbare graduated from nursing school in 2019

NPI Data:

NPI Number: 1386007631
Provider Enumeration Date: 04/04/2016
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5496168080
Enrollment ID: I20201228000824

Medical Identifiers

Medical identifiers for Edwin Japheth Agbonavbare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386007631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	406565 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2277840 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valera Medical Pc	0547690521	131
Supportive Behavioral Care Of Ma Llc	8628346731	88
Valera Medical Pc	0547690521	131

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. Edwin Japheth Agbonavbare allows following entities to bill medicare on his behalf.

Entity Name	Uhs Of Westwood Pembroke Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760453328 PECOS PAC ID: 6204740947 Enrollment ID: O20031117000702

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

Entity Name	Vantage Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190607000976

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20220317001034

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. Edwin Japheth Agbonavbare 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
Edwin Japheth Agbonavbare, CNP 100 Corporate Pl Ste 303, Peabody, MA 01960-3809 Ph: (781) 640-1791	Edwin Japheth Agbonavbare, CNP 100 Corporate Pl Ste 303, Peabody, MA 01960-3809 Ph: (781) 640-1791

Reviews and Comments

Nurse Practitioner Nurses in Peabody, MA

Evelyn Marie Dreyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Jubilee Dr, Peabody, MA 01960 Phone: 877-341-9606
Mrs. Lindsay Madeline Dicker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Centennial Dr, Peabody, MA 01960 Phone: 978-535-1110 Fax: 978-535-2907
Mrs. Gemma Fuller, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 1st Ave, Peabody, MA 01960 Phone: 617-733-1383
Tamara Cantillon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Essex Center Dr, Peabody, MA 01960 Phone: 978-977-4000
Maura A Mcgovern, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Centennial Dr, Peabody, MA 01960 Phone: 978-531-7677 Fax: 978-531-7690
Catherine Crofoot, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 172 Newbury St, Peabody, MA 01960 Phone: 978-535-9190
Susan R. Brown-zimmerman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Zero Centenial Drive, Cab Health And Recovery, Peabody, MA 01960 Phone: 617-247-1001

Edwin Japheth Agbonavbare, CNP - Medicare Nurse Practitioner in Peabody, MA