Alisha Mathalikunnel, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Sacramento, California. Her current practice location is
2516 Stockton Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 734-2428.
Alisha Mathalikunnel is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124656053.
Physician's Profile
Full Name | Alisha Mathalikunnel |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2516 Stockton Blvd, Sacramento, California |
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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: 1124656053
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608236765
- Enrollment ID: I20230720002574
Medical Identifiers
Medical identifiers for Alisha Mathalikunnel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124656053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 184382 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Alisha Mathalikunnel allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
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Entity Name | Sacramento Native American Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588756530 PECOS PAC ID: 2365547023 Enrollment ID: O20200701000784 |
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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. Alisha Mathalikunnel 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 |
Alisha Mathalikunnel, MD 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: (916) 734-2428 | Alisha Mathalikunnel, MD 2516 Stockton Blvd, Sacramento, CA 95817-2208 Ph: (916) 734-2428 |
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