James Abiola, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Havertown, Pennsylvania. His current practice location is
317 Earlington Rd, Havertown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(267) 997-6095.
James Abiola is licensed to practice in Pennsylvania (license number PS019778) 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 1255062048.
Healthcare Provider's Profile
Full Name | James Abiola |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 317 Earlington Rd, Havertown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255062048
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759748270
- Enrollment ID: I20230526002196
Medical Identifiers
Medical identifiers for James Abiola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255062048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PS019778 (Pennsylvania) | 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. James Abiola allows following entities to bill medicare on his behalf.
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
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Entity Name | Psych Choices Of The Delaware Valley, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194213892 PECOS PAC ID: 9133483688 Enrollment ID: O20180509000220 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
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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. James Abiola 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 |
James Abiola, PSYD 317 Earlington Rd, Havertown, PA 19083-5622 Ph: (267) 997-6095 | James Abiola, PSYD 317 Earlington Rd, Havertown, PA 19083-5622 Ph: (267) 997-6095 |
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