Jacob Thadisseril, in Bronx, NY - Medicare Occupational Therapist Provider

Jacob Thadisseril, is a medicare enrolled "Occupational Therapist" provider in Bronx, New York. His current practice location is 2237 Ellis Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (212) 221-1544.

Jacob Thadisseril is licensed to practice in New York (license number 017449) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215281795.

Contact Information

	Jacob Thadisseril,
	2237 Ellis Ave, Bronx, NY 10462-5105
	(212) 221-1544
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Thadisseril
Gender	Male
Speciality	Occupational Therapist
Location	2237 Ellis Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215281795
Provider Enumeration Date: 11/05/2012
Last Update Date: 11/05/2012

Medicare PECOS Information:

PECOS PAC ID: 8921495201
Enrollment ID: I20220505001286

Medical Identifiers

Medical identifiers for Jacob Thadisseril such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215281795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	017449 (New York)	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. Jacob Thadisseril allows following entities to bill medicare on his behalf.

Provider Name	Affinity Rehabilitation Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314

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. Jacob Thadisseril 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
Jacob Thadisseril, 2237 Ellis Ave, Bronx, NY 10462-5105 Ph: () -	Jacob Thadisseril, 2237 Ellis Ave, Bronx, NY 10462-5105 Ph: (212) 221-1544

Reviews and Comments

Occupational Therapist in Bronx, NY

Mrs. Criselda Jose, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1780 Dr Martin Luther King Jr Blvd, Bronx, NY 10453 Phone: 718-960-4400
Mrs. Sarah Jane Honorio Adriano-filatov, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1604 Edison Avenue Apt 2, Bronx, NY 10461 Phone: 347-221-4091
Leonardo Elizalde, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 817 E 180th St, Bronx, NY 10460 Phone: 718-355-9652 Fax: 718-220-6263
Brittany Michele Chandler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 778 Forest Ave, Bronx, NY 10456 Phone: 718-665-5617
Eliana Cutler, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W 250th St, Bronx, NY 10471 Phone: 718-549-4753
Ms. Robin Redenburg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 Barkley Ave, Bronx, NY 10465 Phone: 718-791-6248
Ronen Samuels, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 Henry Hudson Pkwy, Bronx, NY 10463 Phone: 917-574-8341

Jacob Thadisseril, - Medicare Occupational Therapist in Bronx, NY