Ablavi Agomessou, APRN in Lawrenceville, GA - Medicare Nurse Practitioner

Ablavi Agomessou, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lawrenceville, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 881 Ivydale Ln, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 819-8701.

Ablavi Agomessou is licensed to practice in Georgia (license number RN214710) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164885778.

Contact Information

	Ablavi Agomessou, APRN
	881 Ivydale Ln, Lawrenceville, GA 30045-7818
	(404) 819-8701
	Not Available

Map and Direction

Provider's Profile

Full Name	Ablavi Agomessou
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	881 Ivydale Ln, Lawrenceville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ablavi Agomessou graduated from nursing school in 2016

NPI Data:

NPI Number: 1164885778
Provider Enumeration Date: 03/31/2016
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 4385926112
Enrollment ID: I20170131000635

Medical Identifiers

Medical identifiers for Ablavi Agomessou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164885778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN214710 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN214710 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN214710 (Georgia)	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. Ablavi Agomessou allows following entities to bill medicare on her behalf.

Entity Name	Vision Medical Consulting, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073562922 PECOS PAC ID: 3678589967 Enrollment ID: O20060223000402

Entity Name	Anemonefish Inpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

Entity Name	Ivydale Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659919066 PECOS PAC ID: 0446688030 Enrollment ID: O20200313000571

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. Ablavi Agomessou 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
Ablavi Agomessou, APRN 881 Ivydale Ln, Lawrenceville, GA 30045-7818 Ph: (404) 819-8701	Ablavi Agomessou, APRN 881 Ivydale Ln, Lawrenceville, GA 30045-7818 Ph: (404) 819-8701

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, GA

Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: --
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205

Ablavi Agomessou, APRN - Medicare Nurse Practitioner in Lawrenceville, GA