Mr Maurice A Ajaifia, PMHNP in Grand Ronde, OR

Mr Maurice A Ajaifia, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Ronde, Oregon. His current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 879-2026.

Mr Maurice A Ajaifia is licensed to practice in Oregon (license number 10014932) 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 1083288682.

Contact Information

	Mr Maurice A Ajaifia, PMHNP
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2026
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Maurice A Ajaifia
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083288682
Provider Enumeration Date: 05/18/2021
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4880130731
Enrollment ID: I20240726002865

Medical Identifiers

Medical identifiers for Mr Maurice A Ajaifia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083288682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61391953 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10014932 (Oregon)	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. Mr Maurice A Ajaifia allows following entities to bill medicare on his behalf.

Entity Name	Confederated Tribes Of The Grand Ronde Community Of Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494

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. Mr Maurice A Ajaifia 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
Mr Maurice A Ajaifia, PMHNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060	Mr Maurice A Ajaifia, PMHNP 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026

Reviews and Comments

Nurse Practitioner Nurses in Grand Ronde, OR

Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002

Mr Maurice A Ajaifia, PMHNP - Medicare Nurse Practitioner in Grand Ronde, OR