Dr Ancy F Kunnumpurath, MD in La Fayette, NY

Dr Ancy F Kunnumpurath, MD is a medicare enrolled "Internal Medicine" physician in La Fayette, New York. Her current practice location is 2612 State Route 80, La Fayette, New York. You can reach out to her office (for appointments etc.) via phone at (315) 696-8627.

Dr Ancy F Kunnumpurath is licensed to practice in New York (license number 204755-1) 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 1629396502.

Contact Information

	Dr Ancy F Kunnumpurath, MD
	2612 State Route 80, La Fayette, NY 13084-9736
	(315) 696-8627
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ancy F Kunnumpurath
Gender	Female
Speciality	Internal Medicine
Location	2612 State Route 80, La Fayette, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629396502
Provider Enumeration Date: 05/17/2010
Last Update Date: 05/17/2010

Medicare PECOS Information:

PECOS PAC ID: 5597029124
Enrollment ID: I20180508001613

Medical Identifiers

Medical identifiers for Dr Ancy F Kunnumpurath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629396502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	204755-1 (New York)	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. Dr Ancy F Kunnumpurath allows following entities to bill medicare on her behalf.

Entity Name	Carthage Area Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856

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. Dr Ancy F Kunnumpurath 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
Dr Ancy F Kunnumpurath, MD 2612 State Route 80, La Fayette, NY 13084-9736 Ph: (315) 696-8627	Dr Ancy F Kunnumpurath, MD 2612 State Route 80, La Fayette, NY 13084-9736 Ph: (315) 696-8627

Dr Ancy F Kunnumpurath, MD - Medicare Internal Medicine in La Fayette, NY