Tishya Abraham, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Tishya Abraham, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Philadelphia, Pennsylvania. Her current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-8484.

Tishya Abraham is licensed to practice in Pennsylvania (license number SP028183) 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 1982484333.

Contact Information

	Tishya Abraham, CRNP
	3509 N Broad St, Philadelphia, PA 19140-4105
	(215) 707-8484
	(215) 707-5901

Map and Direction

Provider's Profile

Full Name	Tishya Abraham
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	3509 N Broad St, 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: 1982484333
Provider Enumeration Date: 10/03/2023
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9638524861
Enrollment ID: I20231009001526

Medical Identifiers

Medical identifiers for Tishya Abraham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982484333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP028183 (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. Tishya Abraham allows following entities to bill medicare on her behalf.

Entity Name	Consonant Healing Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20210511002102

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. Tishya Abraham 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
Tishya Abraham, CRNP 3500 N Broad St # 1a, Philadelphia, PA 19140-4106 Ph: (215) 707-2433	Tishya Abraham, CRNP 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-8484

Reviews and Comments

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Tishya Abraham, CRNP - Medicare Nurse Practitioner in Philadelphia, PA