Minu Johnson Pottukalam, FNP-C in Porter Ranch, CA

Minu Johnson Pottukalam, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Porter Ranch, California. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 20800 W Bur Oak Cir, Porter Ranch, California. You can reach out to her office (for appointments etc.) via phone at (954) 918-7939.

Minu Johnson Pottukalam is licensed to practice in California (license number 95032599) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922804426.

Contact Information

	Minu Johnson Pottukalam, FNP-C
	20800 W Bur Oak Cir, Porter Ranch, CA 91326-4948
	(954) 918-7939
	Not Available

Map and Direction

Provider's Profile

Full Name	Minu Johnson Pottukalam
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	20800 W Bur Oak Cir, Porter Ranch, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Minu Johnson Pottukalam graduated from nursing school in 2024

NPI Data:

NPI Number: 1922804426
Provider Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0547788226
Enrollment ID: I20250516000480

Medical Identifiers

Medical identifiers for Minu Johnson Pottukalam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922804426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95032599 (California)	Primary

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. Minu Johnson Pottukalam allows following entities to bill medicare on her behalf.

Entity Name	Shehnaz N Habib Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346569217 PECOS PAC ID: 9234268871 Enrollment ID: O20100520000368

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. Minu Johnson Pottukalam 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
Minu Johnson Pottukalam, FNP-C 20800 W Bur Oak Cir, Porter Ranch, CA 91326-4948 Ph: (954) 918-7939	Minu Johnson Pottukalam, FNP-C 20800 W Bur Oak Cir, Porter Ranch, CA 91326-4948 Ph: (954) 918-7939

Reviews and Comments

Nurse Practitioner Nurses in Porter Ranch, CA

Yvette Nicole Jehdian, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19217 Kenya St, Porter Ranch, CA 91326 Phone: 562-355-3460
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Megan Joann Hanley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11177 Tampa Ave # A, Porter Ranch, CA 91326 Phone: 818-850-7129
Tamar Darakdjian, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11129 Amigo Ave, Porter Ranch, CA 91326 Phone: 818-671-8888
Carol Dieu, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-496-7500
Ralph Vincent Aguinaldo Fontejon, MSN APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11357 Etiwanda Ave, Porter Ranch, CA 91326 Phone: 818-835-7640

Minu Johnson Pottukalam, FNP-C - Medicare Nurse Practitioner in Porter Ranch, CA