Jensy Pulikamalil Stafford, MD in Providence, RI

Jensy Pulikamalil Stafford, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Providence, Rhode Island. Her current practice location is 1085 N Main St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 415-4242.

Jensy Pulikamalil Stafford is licensed to practice in Rhode Island (license number 13939) 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 1922261353.

Contact Information

	Jensy Pulikamalil Stafford, MD
	1085 N Main St, Providence, RI 02904-5719
	(401) 415-4242
	(401) 312-2356

Map and Direction

Physician's Profile

Full Name	Jensy Pulikamalil Stafford
Gender	Female
Speciality	Family Medicine - Hospice And Palliative Medicine
Location	1085 N Main St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922261353
Provider Enumeration Date: 07/07/2008
Last Update Date: 07/13/2012

Medicare PECOS Information:

PECOS PAC ID: 5890953954
Enrollment ID: I20121018000353

Medical Identifiers

Medical identifiers for Jensy Pulikamalil Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922261353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	246929 (Massachusetts)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	13939 (Rhode Island)	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. Jensy Pulikamalil Stafford allows following entities to bill medicare on her behalf.

Entity Name	Hopehealth Hospice & Palliative Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790851590 PECOS PAC ID: 4587659255 Enrollment ID: O20040420001030

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. Jensy Pulikamalil Stafford 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
Jensy Pulikamalil Stafford, MD 1085 N Main St, Providence, RI 02904-5719 Ph: () -	Jensy Pulikamalil Stafford, MD 1085 N Main St, Providence, RI 02904-5719 Ph: (401) 415-4242

Reviews and Comments

Family Medicine Doctors in Providence, RI

Soraya S. P. Darwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Scott Jusseaume, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 Fax: 401-863-7953
Martin M. Miner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906 Phone: 401-793-4636 Fax: 401-793-4639
Sheldon D. E. Malcolm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Dr. Stephanie Barak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-453-7655
Chhavi Karir, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427
Janet R. Encarnacion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-415-9500 Fax: 401-415-9515

Jensy Pulikamalil Stafford, MD - Medicare Family Medicine in Providence, RI