Hareg G Abate
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Columbia, SC
NPI 1922692425 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1922692425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1601 Greene Street Columbia
Columbia, SC 29208-0001 - Phone
- (803) 777-7412
- NPI assigned
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, MI
- 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 |
|---|---|---|---|---|
| I20220630003028 | SC | Practitioner - Nurse Practitioner | 1456731835 | Reassigns benefits to 1 organization |
| I20250311002656 | MI | Practitioner - Nurse Practitioner | 1456731835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current |
Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316
4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966
Interoperability endpoints
- habate13338@direct-prd.molinahealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1601 Greene Street Columbia
Columbia, SC 29208-0001
Mailing address
1601 Greene Street Columbia
Columbia, SC 29208-0001
Other names
- Hareg Abate
Other providers in Columbia, SC
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- A-Peel Salon and Spa LLC
- Aaa Quality Care, Inc.
- Abbey Road Hospice, LLC
- Stephanie Matkins Abdalla
- Adila Muhsina Abdul-Karim
- Khadijah Asiya Abdul-Qawee
- Siraj F. Abdullah
All providers in Columbia, SC · Student in an Organized Health Care Education/Training Program in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.