Jaise Thekkan Poulose, MD - Medicare in Edgewood, KY

Jaise Thekkan Poulose, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Edgewood, Kentucky. His current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 757-2927.

Jaise Thekkan Poulose is licensed to practice in Kentucky (license number 53941) 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 1497872675.

Contact Information

Jaise Thekkan Poulose, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 757-2927
(859) 341-0203

Map and Direction




Physician's Profile

Full NameJaise Thekkan Poulose
GenderMale
Speciality
Experience Years
Location1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaise Thekkan Poulose attended and graduated from in
  NPI Data:
  • NPI Number: 1497872675
  • Provider Enumeration Date: 03/23/2007
  • Last Update Date: 08/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jaise Thekkan Poulose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497872675NPI-NPPES
913427000MedicaidMN
10502MedicaidND
ENROLLEDMedicaidMN
N714361MedicaidND
7100672860MedicaidKY
35190900MedicaidWI
ENROLLEDMedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 11150 (North Dakota)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 50104 (Minnesota)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD.207663 (Louisiana)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 53941 (Kentucky)Primary

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. Jaise Thekkan Poulose 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 AddressPractice Location Address
Jaise Thekkan Poulose, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 757-2927
Jaise Thekkan Poulose, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 757-2927

Reviews and Comments


Internal Medicine Doctors in Edgewood, KY

Alice Hall, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Colleen M Darnell, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-4000    Fax: 859-301-4001
Charles M Bernstein, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, St. Elizabeth Healthcare, Edgewood, KY 41017
Phone: 859-301-2423    Fax: 859-301-2066
Vidya Rajaram Devarajan, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-344-1512    Fax: 859-331-3698
Dr. Minsig Choi, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-4000    Fax: 859-301-4001
Robert J Wagner, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Ryan Daniel Weprin, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.