Jaison Eluvathingal Chakkappan, NURSE PRACTITONER - Medicare Nurse Practitioner in Davie, FL

Jaison Eluvathingal Chakkappan, NURSE PRACTITONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Davie, Florida. His current practice location is 8958 W State Road 84 Ste 342, Davie, Florida. You can reach out to his office (for appointments etc.) via phone at (914) 602-6209.

Jaison Eluvathingal Chakkappan is licensed to practice in Florida (license number ARNP9315515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891110342.

Contact Information

Jaison Eluvathingal Chakkappan, NURSE PRACTITONER
8958 W State Road 84 Ste 342,
Davie, FL 33324-4457
(914) 602-6209
Not Available

Map and Direction




Provider's Profile

Full NameJaison Eluvathingal Chakkappan
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8958 W State Road 84 Ste 342, Davie, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891110342
  • Provider Enumeration Date: 02/20/2014
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173754942
  • Enrollment ID: I20140319000976

Medical Identifiers

Medical identifiers for Jaison Eluvathingal Chakkappan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891110342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP9315515 (Florida)Primary
363LF0000XNurse Practitioner - Family 9315515 (Florida)Secondary

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. Jaison Eluvathingal Chakkappan allows following entities to bill medicare on his behalf.
Entity NameComprehensive Psychiatric Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942525860
PECOS PAC ID: 0840483236
Enrollment ID: O20101018001051
Entity NameJ & G Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184042079
PECOS PAC ID: 2860700408
Enrollment ID: O20151001001781

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. Jaison Eluvathingal Chakkappan 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
Jaison Eluvathingal Chakkappan, NURSE PRACTITONER
8958 W State Road 84 Ste 342,
Davie, FL 33324-4457

Ph: (914) 602-6209
Jaison Eluvathingal Chakkappan, NURSE PRACTITONER
8958 W State Road 84 Ste 342,
Davie, FL 33324-4457

Ph: (914) 602-6209

Reviews and Comments


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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.

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