Abiemwense Sandra Abraham, in Tinley Park, IL

Abiemwense Sandra Abraham, is a medicare enrolled "Nurse Practitioner - Family" in Tinley Park, Illinois. Her current practice location is 16922 Marilyn Dr, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 706-1127.

Abiemwense Sandra Abraham is licensed to practice in Illinois (license number 209-029236) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063262665.

Contact Information

	Abiemwense Sandra Abraham,
	16922 Marilyn Dr, Tinley Park, IL 60477-5264
	(630) 706-1127
	Not Available

Map and Direction

Provider's Profile

Full Name	Abiemwense Sandra Abraham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16922 Marilyn Dr, Tinley Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063262665
Provider Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9739628058
Enrollment ID: I20240829003178

Medical Identifiers

Medical identifiers for Abiemwense Sandra Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063262665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209-029236 (Illinois)	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. Abiemwense Sandra Abraham allows following entities to bill medicare on her behalf.

Entity Name	Southerncare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790566206 PECOS PAC ID: 8527977735 Enrollment ID: O20231201002199

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. Abiemwense Sandra Abraham 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
Abiemwense Sandra Abraham, 16922 Marilyn Dr, Tinley Park, IL 60477-5264 Ph: (630) 706-1127	Abiemwense Sandra Abraham, 16922 Marilyn Dr, Tinley Park, IL 60477-5264 Ph: (630) 706-1127

Reviews and Comments

Nurse Practitioner Nurses in Tinley Park, IL

John Raju, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7460 170th Pl, Tinley Park, IL 60477 Phone: 708-781-3500
Wendy A Siegert, RN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7003 Irene Courtyard, Tinley Park, IL 60477 Phone: 708-738-5073
Kaley Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16650 Harlem Ave Ste 6, Tinley Park, IL 60477 Phone: 708-231-1384
Marjorie Craig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16650 Harlem Ave Ste 1, Tinley Park, IL 60477 Phone: 708-444-1512
Jennifer Teruko Vermette, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406
Cynthia Ann Oneill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 Centennial Dr, Tinley Park, IL 60477 Phone: 708-429-3455 Fax: 708-429-3422
Donna Boettge, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17859 80th Ave, Tinley Park, IL 60477 Phone: 888-938-3838 Fax: 888-919-1083

Abiemwense Sandra Abraham, - Medicare Nurse Practitioner in Tinley Park, IL