Dr Jose Nellikappallil, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fort Worth, Texas. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Texas Medicine Resources, Llp and his current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 702-8840.
Dr Jose Nellikappallil is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124777255.
Physician's Profile
| Full Name | Dr Jose Nellikappallil |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 3 Years |
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| Location | 1500 S Main St, Fort Worth, Texas |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Jose Nellikappallil graduated from medical school in 2022
NPI Data:
- NPI Number: 1124777255
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698213791
- Enrollment ID: I20240821000111
Medical Identifiers
Medical identifiers for Dr Jose Nellikappallil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124777255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | V2180 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Texas Medicine Resources, Llp | 5890688212 | 229 |
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 Jose Nellikappallil allows following entities to bill medicare on his behalf.
| Entity Name | Integrative Emergency Services Physician Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932 |
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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. Dr Jose Nellikappallil 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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Dr Jose Nellikappallil, MD
1500 S Main St,
Fort Worth, TX 76104-4917
Ph: (817) 702-8840 | Dr Jose Nellikappallil, MD
1500 S Main St,
Fort Worth, TX 76104-4917
Ph: (817) 702-8840 |
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