Mrs Manjju Agnes Pulickal, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mt. Kisco, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Associates Of Morristown Pa, North Shore - Lij Anesthesiology, Pc and her current practice location is
344 Main St, Suite 104, Mt. Kisco, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 242-3652.
Mrs Manjju Agnes Pulickal is licensed to practice in New York (license number 597810) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972801629.
Provider's Profile
| Full Name | Mrs Manjju Agnes Pulickal |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 344 Main St, Mt. Kisco, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Manjju Agnes Pulickal graduated from nursing school in 2011
NPI Data:
- NPI Number: 1972801629
- Provider Enumeration Date: 03/04/2011
- Last Update Date: 03/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 6709051584
- Enrollment ID: I20111206000271
Medical Identifiers
Medical identifiers for Mrs Manjju Agnes Pulickal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972801629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00321900 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 597810 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Associates Of Morristown Pa | 7315906591 | 132 |
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 779 |
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. Mrs Manjju Agnes Pulickal allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Associates Of Morristown Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922057678
PECOS PAC ID: 7315906591
Enrollment ID: O20041004000993 |
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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. Mrs Manjju Agnes Pulickal 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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Mrs Manjju Agnes Pulickal, CRNA
Po Box 551420,
Fort Lauderdale, FL 33355-1420
Ph: (800) 243-3839 | Mrs Manjju Agnes Pulickal, CRNA
344 Main St, Suite 104,
Mt. Kisco, NY 10549
Ph: (914) 242-3652 |
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