Jeffrey Abraham
Individual provider Active NPI Physician Assistant · Rockingham, VA
NPI 1891456471 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1891456471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 450 Monte Vista Dr
Rockingham, VA 22802-8010 - Phone
- (520) 456-5141
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Firstline Healthcare PLLC
Practice addresses (Care Compare)
2043 S Neil St
Champaign, IL 61820-7219
Phone (217) 693-6220
Hospital & facility affiliations
- Osf Sacred Heart Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220328002514 | IL | Practitioner - Physician Assistant | 3971998055 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstline Healthcare PLLC | Current |
Accepting new patients | |
| Firstline Healthcare PLLC | Past |
Accepting new patients |
Locations
2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
450 Monte Vista Dr
Rockingham, VA 22802-8010
Mailing address
450 Monte Vista Dr
Rockingham, VA 22802-8010
Other providers in Rockingham, VA
- A Mindful Connection Telemental Health, LLC
- Jamilla Adams
- Whitney D Adams
- Faizan Ahmad
- Azhar Ahmed
- Mustafa Al Jabri
All providers in Rockingham, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.