Dr John Mathew Poothullil, MD,FRCP,FAAP is a
Allergy & Immunology physician based in Lake Jackson, Texas. Dr John Mathew Poothullil is licensed to practice in Texas (license number E6880) and his current practice location is 201 Oak Dr S, Suite 106, Lake Jackson, Texas. He can be reached at his office (for appointments etc.) via phone at
(979) 297-8006.
NPI number for Dr John Mathew Poothullil is 1134102528 and his current mailing address is 201 Oak Dr S, Suite 106, Lake Jackson, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134102528.
Physician's Profile
| Full Name | Dr John Mathew Poothullil |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology |
|---|
| Location | 201 Oak Dr S, Lake Jackson, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134102528
- Provider Enumeration Date: 11/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Mathew Poothullil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134102528 | NPI | - | NPPES |
| 02914600-01 | Other | TX | CIGNA |
| 10020011 | Other | TX | AMERIKIDS |
| 02914600-14 | Other | TX | CIGNA SELECT |
| 02914600-13 | Other | TX | CIGNA HMO |
| 2225592 | Other | TX | BCBS BLUE LINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | E6880 (Texas) | 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. Dr John Mathew Poothullil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Mathew Poothullil, MD,FRCP,FAAP
201 Oak Dr S, Suite 106,
Lake Jackson, TX 77566-5676
Ph: (979) 297-8006 | Dr John Mathew Poothullil, MD,FRCP,FAAP
201 Oak Dr S, Suite 106,
Lake Jackson, TX 77566-5676
Ph: (979) 297-8006 |
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