| John Puthenpurackal John, MD | |
|
514 W 3rd Ave, Warren, PA 16365-2201 | |
| (814) 723-5545 | |
| (814) 723-6355 |
| Full Name | John Puthenpurackal John |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 34 Years |
| Location | 514 W 3rd Ave, Warren, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497789507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD051025L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Center For Treatment And Education | 4880750017 | 7 |
| Deerfield Behavioral Health Of Warren, Llc | 8325935661 | 8 |
| Entity Name | Deerfield Behavioral Health Of Warren, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134158314 PECOS PAC ID: 8325935661 Enrollment ID: O20040302000638 |
| Entity Name | Childrens Center For Treatment And Education |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366609646 PECOS PAC ID: 4880750017 Enrollment ID: O20090312000564 |
| Mailing Address | Practice Location Address |
|---|---|
| John Puthenpurackal John, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 | John Puthenpurackal John, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 |
Dr. Herman Grishaver, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crescent Park, Warren, PA 16365 Phone: 814-723-1961 Fax: 814-723-6543 | |
Dr. Charles Bryan Norton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 | |
Craig Garry Richman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1003 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-6355 Fax: 814-723-5545 | |
Dr. Ernesto Roederer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 |