Dr Anju Nellissery, DMD, MD in Chicopee, MA

Dr Anju Nellissery, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Chicopee, Massachusetts. Her current practice location is 1066 Granby Rd, Chicopee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 534-4400.

Dr Anju Nellissery is licensed to practice in Massachusetts (license number DN1859832) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629598123.

Contact Information

	Dr Anju Nellissery, DMD, MD
	1066 Granby Rd, Chicopee, MA 01020-1539
	(413) 534-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anju Nellissery
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1066 Granby Rd, Chicopee, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629598123
Provider Enumeration Date: 06/26/2017
Last Update Date: 01/03/2026

Medicare PECOS Information:

PECOS PAC ID: 6305209883
Enrollment ID: I20230831000217

Medical Identifiers

Medical identifiers for Dr Anju Nellissery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629598123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN1859832 (Massachusetts)	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. Dr Anju Nellissery allows following entities to bill medicare on her behalf.

Entity Name	Mcnally Brothers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396897823 PECOS PAC ID: 9234233966 Enrollment ID: O20070405000042

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. Dr Anju Nellissery 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
Dr Anju Nellissery, DMD, MD 1066 Granby Rd, Chicopee, MA 01020-1539 Ph: (413) 534-4400	Dr Anju Nellissery, DMD, MD 1066 Granby Rd, Chicopee, MA 01020-1539 Ph: (413) 534-4400

Reviews and Comments

Dentist in Chicopee, MA

Dr. Maureen Ann Quinn-sheehan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1146 Memorial Dr, Chicopee, MA 01020 Phone: 413-593-8904 Fax: 413-593-5366
Dr. Louis Michael Grillon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 436 Chicopee St, Chicopee, MA 01013 Phone: 413-533-0528
Mark A Bourcier, DMD Dentist Medicare: Medicare Enrolled Practice Location: 391 Montgomery St, Chicopee, MA 01020 Phone: 413-592-8099 Fax: 513-592-5839
Dr. Daniel Fred Thomas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 536 Grattan St, Chicopee, MA 01020 Phone: 413-532-7183
John Gentile, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 591 Memorial Dr Ste 4, Chicopee, MA 01020 Phone: 857-320-7804
Dr. John Patrick Griffin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1682 Memorial Dr, Chicopee, MA 01020 Phone: 413-533-6460 Fax: 413-533-7034
Waclaw Anthony Hojnoski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 377 Montgomery Street, Chicopee, MA 01020 Phone: 413-592-2500 Fax: 413-594-5010

Dr Anju Nellissery, DMD, MD - Medicare Dentist in Chicopee, MA