Mr Jerry Idiculla Chandy, NP - Medicare Nurse Practitioner in Trenton, MI

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Mr Jerry Idiculla Chandy, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Trenton, Michigan. His current practice location is 1675 Kingsway Ct Ste 1, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 676-8530.

Mr Jerry Idiculla Chandy is licensed to practice in Michigan (license number 4704276954) 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 1023447695.

Contact Information

Mr Jerry Idiculla Chandy, NP
1675 Kingsway Ct Ste 1,
Trenton, MI 48183-1958
(734) 676-8530
Not Available

Map and Direction




Provider's Profile

Full NameMr Jerry Idiculla Chandy
GenderMale
SpecialityNurse Practitioner - Adult Health
Location1675 Kingsway Ct Ste 1, Trenton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023447695
  • Provider Enumeration Date: 11/05/2013
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133343106
  • Enrollment ID: I20140612001812

Medical Identifiers

Medical identifiers for Mr Jerry Idiculla Chandy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023447695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704276954 (Michigan)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 Jerry Idiculla Chandy allows following entities to bill medicare on his behalf.
Entity NameDownriver Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023044542
PECOS PAC ID: 1052319811
Enrollment ID: O20061110000223
Entity NameTrenton Total Health Care Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932270584
PECOS PAC ID: 0446425425
Enrollment ID: O20111203000152

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 Jerry Idiculla Chandy 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
Mr Jerry Idiculla Chandy, NP
1675 Kingsway Ct Ste 1,
Trenton, MI 48183-1958

Ph: (734) 676-8530		Mr Jerry Idiculla Chandy, NP
1675 Kingsway Ct Ste 1,
Trenton, MI 48183-1958

Ph: (734) 676-8530

Reviews and Comments


Nurse Practitioner Nurses in Trenton, MI

Mrs. Latoya Ellis,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183
Phone: 734-642-2727    
Elizabeth Ann Davis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5400 Fort St Ste 130, Trenton, MI 48183
Phone: 734-362-7100    Fax: 734-671-1768
Staci Damiani,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1675 Kingsway Ct, Trenton, MI 48183
Phone: 734-676-8530    Fax: 734-676-2319
Ms. Janet T Sohn, R.N. M.S. C.S. F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183
Phone: 734-642-2727    
Samreen Haroon, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3645 West Rd, Trenton, MI 48183
Phone: 734-486-4200    Fax: 734-486-4202
Yvonne Holton, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.