Ayeesha Adolphus, PMHNP-BC in Philadelphia, PA

Ayeesha Adolphus, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. Her current practice location is 5800 Ridge Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 429-4732.

Ayeesha Adolphus is licensed to practice in Pennsylvania (license number SP021592) 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 1447885132.

Contact Information

	Ayeesha Adolphus, PMHNP-BC
	5800 Ridge Ave, Philadelphia, PA 19128
	(484) 429-4732
	Not Available

Map and Direction

Provider's Profile

Full Name	Ayeesha Adolphus
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5800 Ridge Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447885132
Provider Enumeration Date: 03/03/2020
Last Update Date: 03/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2264854470
Enrollment ID: I20200617000020

Medical Identifiers

Medical identifiers for Ayeesha Adolphus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447885132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP021592 (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. Ayeesha Adolphus allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069

Entity Name	Roxborough Medical Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033508742 PECOS PAC ID: 3072839026 Enrollment ID: O20150310000984

Entity Name	Suburban Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795

Entity Name	Center For Integrative Psychiatry And Neuromodulation, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265031603 PECOS PAC ID: 5890103329 Enrollment ID: O20210421001000

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. Ayeesha Adolphus 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
Ayeesha Adolphus, PMHNP-BC 1500 Lansdowne Ave, Darby, PA 19023-1200 Ph: (484) 429-4732	Ayeesha Adolphus, PMHNP-BC 5800 Ridge Ave, Philadelphia, PA 19128 Ph: (484) 429-4732

Reviews and Comments

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Ayeesha Adolphus, PMHNP-BC - Medicare Nurse Practitioner in Philadelphia, PA