Mr Maurice A Ajaifia, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Ronde, Oregon. His current practice location is
9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 879-2026.
Mr Maurice A Ajaifia is licensed to practice in Oregon (license number 10014932) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083288682.
Provider's Profile
| Full Name | Mr Maurice A Ajaifia |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083288682
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880130731
- Enrollment ID: I20240726002865
Medical Identifiers
Medical identifiers for Mr Maurice A Ajaifia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083288682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61391953 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10014932 (Oregon) | 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. Mr Maurice A Ajaifia allows following entities to bill medicare on his behalf.
| Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174666358
PECOS PAC ID: 6103717277
Enrollment ID: O20040320000494 |
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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. Mr Maurice A Ajaifia 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 |
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Mr Maurice A Ajaifia, PMHNP
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
Ph: (503) 879-2060 | Mr Maurice A Ajaifia, PMHNP
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
Ph: (503) 879-2026 |
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