Jomon John Thekkethottiyil, in St Petersburg, FL - Medicare Clinical Social Worker Provider

Jomon John Thekkethottiyil, is a medicare enrolled "Social Worker - Clinical" provider in St Petersburg, Florida. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 4024 Central Ave, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 327-7656.

Jomon John Thekkethottiyil is licensed to practice in Florida (license number SW10806) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023376894.

Contact Information

	Jomon John Thekkethottiyil,
	4024 Central Ave, St Petersburg, FL 33711-1239
	(727) 327-7656
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jomon John Thekkethottiyil
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	4024 Central Ave, St Petersburg, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jomon John Thekkethottiyil graduated from medical school in 2003

NPI Data:

NPI Number: 1023376894
Provider Enumeration Date: 04/30/2012
Last Update Date: 06/18/2012

Medicare PECOS Information:

PECOS PAC ID: 8022253897
Enrollment ID: I20130327000146

Medical Identifiers

Medical identifiers for Jomon John Thekkethottiyil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023376894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW10806 (Florida)	Primary
101Y00000X	Counselor	SW10806 (Florida)	Secondary

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. Jomon John Thekkethottiyil allows following entities to bill medicare on his behalf.

Entity Name	Newlight Psychiatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477058691 PECOS PAC ID: 9931456605 Enrollment ID: O20180726001069

Entity Name	Central Florida Psychotherapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689286809 PECOS PAC ID: 0446679393 Enrollment ID: O20200928000985

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. Jomon John Thekkethottiyil 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
Jomon John Thekkethottiyil, 3835 Misty Landing Dr, Valrico, FL 33594-4802 Ph: (727) 424-8423	Jomon John Thekkethottiyil, 4024 Central Ave, St Petersburg, FL 33711-1239 Ph: (727) 327-7656

Reviews and Comments

Social Worker in St Petersburg, FL

Daniele Herrmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Carillon Pkwy, St Petersburg, FL 33716 Phone: 800-662-9508
Nancy Rae Russell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6737 1st Ave S, St Petersburg, FL 33707 Phone: 727-341-1000 Fax: 727-341-1000
William Jason Vejcik, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 Central Ave Unit 1114, St Petersburg, FL 33701 Phone: 313-400-7875
Melissa Davidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 786-246-2732
Erin St John, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1001 16th St S, St Petersburg, FL 33705 Phone: 727-327-7656 Fax: 727-322-2130
Mrs. Karie Maloney Johnston, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 407-900-5092

Jomon John Thekkethottiyil, - Medicare Clinical Social Worker in St Petersburg, FL