Anija Poudel, is a medicare enrolled "Nurse Practitioner - Family" physician in Dallas, Texas. Her current practice location is
4305 W Wheatland Rd Ste 101, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 708-9494.
Anija Poudel is licensed to practice in Texas (license number 1075599) 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 1114650884.
Physician's Profile
| Full Name | Anija Poudel |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4305 W Wheatland Rd Ste 101, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114650884
- Provider Enumeration Date: 07/08/2022
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769848449
- Enrollment ID: I20230523000915
Medical Identifiers
Medical identifiers for Anija Poudel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114650884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 1075599 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1075599 (Texas) | 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. Anija Poudel allows following entities to bill medicare on her behalf.
| Entity Name | Wellmed Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437156486
PECOS PAC ID: 4880657386
Enrollment ID: O20041105000519 |
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| Entity Name | Internal Medicine Associates Of South Dallas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205023397
PECOS PAC ID: 2264516541
Enrollment ID: O20080226000098 |
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| Entity Name | Neeraja Boddu Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316588361
PECOS PAC ID: 9335573831
Enrollment ID: O20191216001331 |
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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. Anija Poudel 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 |
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Anija Poudel,
4305 W Wheatland Rd Ste 101,
Dallas, TX 75237-3455
Ph: (972) 708-9494 | Anija Poudel,
4305 W Wheatland Rd Ste 101,
Dallas, TX 75237-3455
Ph: (972) 708-9494 |
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