Mr Renju Mathew, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Franklin Sq, New York. His current practice location is
844 Hemlock St, Franklin Sq, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 270-5813.
Mr Renju Mathew is licensed to practice in New York (license number 406361) 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 1194532051.
Provider's Profile
| Full Name | Mr Renju Mathew |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 844 Hemlock St, Franklin Sq, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194532051
- Provider Enumeration Date: 12/14/2024
- Last Update Date: 12/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446778203
- Enrollment ID: I20250515000884
Medical Identifiers
Medical identifiers for Mr Renju Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194532051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406361 (New York) | Primary |
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 Renju Mathew 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 Renju Mathew, 844 Hemlock St, Franklin Sq, NY 11010-4008 Ph: (516) 270-5813 | Mr Renju Mathew, 844 Hemlock St, Franklin Sq, NY 11010-4008 Ph: (516) 270-5813 |
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