Mr Ebenezer Premkumar Thangavelu, NP in Lindenhurst, NY

Mr Ebenezer Premkumar Thangavelu, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lindenhurst, New York. His current practice location is 143 S 9th St, Lindenhurst, New York. You can reach out to his office (for appointments etc.) via phone at (516) 983-5754.

Mr Ebenezer Premkumar Thangavelu is licensed to practice in New York (license number F 302708-1) 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 1780673228.

Contact Information

	Mr Ebenezer Premkumar Thangavelu, NP
	143 S 9th St, Lindenhurst, NY 11757-4523
	(516) 983-5754
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ebenezer Premkumar Thangavelu
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	143 S 9th St, Lindenhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780673228
Provider Enumeration Date: 10/18/2005
Last Update Date: 05/18/2016

Medicare PECOS Information:

PECOS PAC ID: 8921133596
Enrollment ID: I20100322000254

Medical Identifiers

Medical identifiers for Mr Ebenezer Premkumar Thangavelu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780673228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F 302708-1 (New York)	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. Mr Ebenezer Premkumar Thangavelu allows following entities to bill medicare on his behalf.

Entity Name	Long Island Medical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841443538 PECOS PAC ID: 3476619867 Enrollment ID: O20090310000537

Entity Name	Fulton Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424

Entity Name	Nassau Medical Home Visits Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104270198 PECOS PAC ID: 8921390121 Enrollment ID: O20160708000731

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. Mr Ebenezer Premkumar Thangavelu 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
Mr Ebenezer Premkumar Thangavelu, NP 143 South 9th Street, Lindenhurst, NY 11757 Ph: (631) 957-1859	Mr Ebenezer Premkumar Thangavelu, NP 143 S 9th St, Lindenhurst, NY 11757-4523 Ph: (516) 983-5754

Reviews and Comments

Nurse Practitioner Nurses in Lindenhurst, NY

John Dujmovic, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 E Sunrise Hwy, Lindenhurst, NY 11757 Phone: 631-225-7200
Kelly A Hallahan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Granada Pkwy, Lindenhurst, NY 11757 Phone: 631-609-7102
Dominique Dorothy Rossi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy Ste A, Lindenhurst, NY 11757 Phone: 631-429-3673
Alicia Gatti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy, Lindenhurst, NY 11757 Phone: 516-658-7564
Miss Robyn Josephine Becker, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 578 N Wellwood Ave, Lindenhurst, NY 11757 Phone: 631-786-0753
Kelsey Raffaela Koetzner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N Wellwood Ave Ste 3, Lindenhurst, NY 11757 Phone: 631-226-4342
Meagan M Sullivan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Route 109 Ste A, Lindenhurst, NY 11757 Phone: 631-991-3235 Fax: 631-397-0919

Mr Ebenezer Premkumar Thangavelu, NP - Medicare Nurse Practitioner in Lindenhurst, NY