Mrs Manjju Agnes Pulickal, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mt. Kisco, New York. Her current practice location is
344 Main St, Suite 104, Mt. Kisco, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 242-3652.
Mrs Manjju Agnes Pulickal is licensed to practice in New York (license number 597810) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972801629.
Provider's Profile
Full Name | Mrs Manjju Agnes Pulickal |
---|
Gender | Female |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 344 Main St, Mt. Kisco, New York |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Manjju Agnes Pulickal attended and graduated from in
NPI Data:
- NPI Number: 1972801629
- Provider Enumeration Date: 03/04/2011
- Last Update Date: 03/03/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Manjju Agnes Pulickal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972801629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00321900 (New Jersey) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 597810 (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. Mrs Manjju Agnes Pulickal 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 |
Mrs Manjju Agnes Pulickal, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Mrs Manjju Agnes Pulickal, CRNA 344 Main St, Suite 104, Mt. Kisco, NY 10549 Ph: (914) 242-3652 |
Reviews and Comments