Alexander Ayonbo Oboro, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Mill Hall, Pennsylvania. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Services Group Inc and his current practice location is
7930 Nittany Valley Dr, Mill Hall, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 323-6944.
Alexander Ayonbo Oboro is licensed to practice in Pennsylvania (license number SP018569) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346807849.
Provider's Profile
Full Name | Alexander Ayonbo Oboro |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 7930 Nittany Valley Dr, Mill Hall, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alexander Ayonbo Oboro graduated from nursing school in 2017
NPI Data:
- NPI Number: 1346807849
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 05/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214261593
- Enrollment ID: I20190619002852
Medical Identifiers
Medical identifiers for Alexander Ayonbo Oboro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346807849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP023456 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP018569 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Services Group Inc | 1052201571 | 33 |
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. Alexander Ayonbo Oboro allows following entities to bill medicare on his behalf.
Entity Name | Community Services Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465 |
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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. Alexander Ayonbo Oboro 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 |
Alexander Ayonbo Oboro, CRNP 2703 Old Berwick Rd Apt B, Bloomsburg, PA 17815-3240 Ph: (215) 252-6645 | Alexander Ayonbo Oboro, CRNP 7930 Nittany Valley Dr, Mill Hall, PA 17751-8805 Ph: (570) 323-6944 |
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