Adeline Etoghe Abam, APRN-CNP in Fort Worth, TX

Adeline Etoghe Abam, APRN-CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 3840 Hulen St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 335-3022.

Adeline Etoghe Abam is licensed to practice in Texas (license number AP129503) 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 1902277056.

Contact Information

	Adeline Etoghe Abam, APRN-CNP
	3840 Hulen St, Fort Worth, TX 76107-7277
	(817) 335-3022
	Not Available

Map and Direction

Provider's Profile

Full Name	Adeline Etoghe Abam
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3840 Hulen St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902277056
Provider Enumeration Date: 10/15/2015
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6204136138
Enrollment ID: I20151130000194

Medical Identifiers

Medical identifiers for Adeline Etoghe Abam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902277056	NPI	-	NPPES
8450NS	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP129503 (Texas)	Primary
363LC0200X	Nurse Practitioner - Critical Care Medicine	786779 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	786779 (Texas)	Secondary

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. Adeline Etoghe Abam allows following entities to bill medicare on her behalf.

Entity Name	My Health My Resources Of Tarrant County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952423782 PECOS PAC ID: 6406755693 Enrollment ID: O20040107000397

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

Entity Name	Adelson Behavioral And Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467109702 PECOS PAC ID: 8325434384 Enrollment ID: O20220331001320

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. Adeline Etoghe Abam 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
Adeline Etoghe Abam, APRN-CNP Po Box 2603, Fort Worth, TX 76113-2603 Ph: (817) 569-4039	Adeline Etoghe Abam, APRN-CNP 3840 Hulen St, Fort Worth, TX 76107-7277 Ph: (817) 335-3022

Reviews and Comments

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Adeline Etoghe Abam, APRN-CNP - Medicare Nurse Practitioner in Fort Worth, TX