Ahjale Thybulle, in Bronx, NY - Medicare Nurse Practitioner

Ahjale Thybulle, is a medicare enrolled "Nurse Practitioner - Women's Health" in Bronx, New York. She went to State University Of New York Downstate Medical Center and graduated in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wyckoff Professional Medical Services Pc and her current practice location is 1065 Southern Blvd, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 589-2440.

Ahjale Thybulle is licensed to practice in New York (license number F421607) 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 1710686423.

Contact Information

	Ahjale Thybulle,
	1065 Southern Blvd, Bronx, NY 10459-2417
	(718) 589-2440
	Not Available

Map and Direction

Provider's Profile

Full Name	Ahjale Thybulle
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1065 Southern Blvd, Bronx, New York
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:

Ahjale Thybulle attended and graduated from State University Of New York Downstate Medical Center in 2022

NPI Data:

NPI Number: 1710686423
Provider Enumeration Date: 03/01/2023
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6406391010
Enrollment ID: I20240708002877

Medical Identifiers

Medical identifiers for Ahjale Thybulle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710686423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	F421607 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wyckoff Heights Medical Center	Brooklyn, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wyckoff Professional Medical Services Pc	6406748607	132

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. Ahjale Thybulle allows following entities to bill medicare on her behalf.

Entity Name	Wyckoff Professional Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805

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. Ahjale Thybulle 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
Ahjale Thybulle, 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440	Ahjale Thybulle, 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440

Reviews and Comments

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Ahjale Thybulle, - Medicare Nurse Practitioner in Bronx, NY