Look up the most recent NPI and PECOS records

Jane Abraham

Social Worker

Behavioral Health & Social Service Providers

1384 Madison Ave, Memphis, TN 38104-2327

PECOS Enrollment

Based on the most recent information from CMS, provider Jane Abraham is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598961112
Provider Type
Individual
Full Name
Abraham, Jane
Credential
PH.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/21/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1384 Madison Ave, Memphis, TN 38104-2327

(901) 828-1332

(901) 726-4281

Mailing Location

256 Angelus St, Memphis, TN 38112-5202

(901) 272-1657

(901) 726-4281

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LSW4095 Tennessee

Jane Abraham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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