Krupa Mathew Chackalackal, RD in Avondale, AZ - Medicare Registered Dietitian Or Nutrition Professional Provider

Krupa Mathew Chackalackal, RD is a medicare enrolled "Dietitian, Registered" provider in Avondale, Arizona. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Am Nutrition Services and her current practice location is 10750 W Mcdowell Rd Ste A300, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 399-6825.

Krupa Mathew Chackalackal is licensed to practice in Arizona (license number 86289513) 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 1154993533.

Contact Information

	Krupa Mathew Chackalackal, RD
	10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963
	(623) 399-6825
	(623) 505-3474

Map and Direction

Healthcare Provider's Profile

Full Name	Krupa Mathew Chackalackal
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	5 Years
Location	10750 W Mcdowell Rd Ste A300, Avondale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Krupa Mathew Chackalackal graduated from medical school in 2019

NPI Data:

NPI Number: 1154993533
Provider Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 1456754746
Enrollment ID: I20210723002201

Medical Identifiers

Medical identifiers for Krupa Mathew Chackalackal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154993533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86289513 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Am Nutrition Services	1254430580	42

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. Krupa Mathew Chackalackal allows following entities to bill medicare on her behalf.

Provider Name	Am Nutrition Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063

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. Krupa Mathew Chackalackal 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
Krupa Mathew Chackalackal, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825	Krupa Mathew Chackalackal, RD 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 Ph: (623) 399-6825

Reviews and Comments

Dietitian, Registered in Avondale, AZ

Haley Mollhagen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825
Jacqueline Badine, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1513 S 121st Dr, Avondale, AZ 85323 Phone: 602-770-5086
Diana Mrozek, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Maddalyn Deitchman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Hannah Lacey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Mia Tomasula, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474

Krupa Mathew Chackalackal, RD - Medicare Dietitian in Avondale, AZ