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

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Edwin Japheth Agbonavbare, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Peabody, Massachusetts. 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 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 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 NameEdwin Japheth Agbonavbare
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location100 Corporate Pl Ste 303, Peabody, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1386007631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 406565 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2277840 (Massachusetts)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. Edwin Japheth Agbonavbare allows following entities to bill medicare on his behalf.
Entity NameUhs of Westwood Pembroke Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760453328
PECOS PAC ID: 6204740947
Enrollment ID: O20031117000702
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameThrive Counseling LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20110725000191
Entity NameSupportive Behavioral Care of Ma LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780115519
PECOS PAC ID: 8628346731
Enrollment ID: O20170614000877
Entity NameVantage Healthcare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366903551
PECOS PAC ID: 8224361191
Enrollment ID: O20190607000976
Entity NameValera Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
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: May Accept 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
Mrs. Lori Anne Cline, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5 Centennial Dr Ste 100, Peabody, MA 01960
Phone: 879-232-0332    
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    

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.