Anna Vimala John, is a medicare enrolled "Pediatrics" physician in Williamsburg, Kentucky. Her current practice location is
1047 S Highway 25 W, Williamsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 549-2656.
Anna Vimala John is licensed to practice in Kentucky (license number 60344) 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 1144970781.
Physician's Profile
| Full Name | Anna Vimala John |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1047 S Highway 25 W, Williamsburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144970781
- Provider Enumeration Date: 03/26/2022
- Last Update Date: 05/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466979588
- Enrollment ID: I20250512001740
Medical Identifiers
Medical identifiers for Anna Vimala John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144970781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 73817 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 60344 (Kentucky) | 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. Anna Vimala John allows following entities to bill medicare on her behalf.
| Entity Name | Dayspring Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013049469
PECOS PAC ID: 7214990746
Enrollment ID: O20041215000423 |
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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. Anna Vimala John 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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Anna Vimala John,
Po Box 540,
Jellico, TN 37762-0540
Ph: (423) 784-8492 | Anna Vimala John,
1047 S Highway 25 W,
Williamsburg, KY 40769-1639
Ph: (606) 549-2656 |
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