Jeril Anthony Kannampuzha, MD is a medicare enrolled "Pediatrics" physician in Gainesville, Texas. His current practice location is
1902 Hospital Blvd, Gainesville, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 612-8750.
Jeril Anthony Kannampuzha is licensed to practice in Texas (license number Q9840) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487072906.
Physician's Profile
| Full Name | Jeril Anthony Kannampuzha |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1902 Hospital Blvd, Gainesville, 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: 1487072906
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335429497
- Enrollment ID: I20161206002260
Medical Identifiers
Medical identifiers for Jeril Anthony Kannampuzha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487072906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 955120 (New York) | Secondary |
| 208000000X | Pediatrics | Q9840 (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. Jeril Anthony Kannampuzha allows following entities to bill medicare on his behalf.
| Entity Name | Gainesville Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033687900
PECOS PAC ID: 6002150729
Enrollment ID: O20190122001015 |
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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. Jeril Anthony Kannampuzha 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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Jeril Anthony Kannampuzha, MD
1900 Hospital Blvd,
Gainesville, TX 76240-2002
Ph: (940) 665-1751 | Jeril Anthony Kannampuzha, MD
1902 Hospital Blvd,
Gainesville, TX 76240-2007
Ph: (940) 612-8750 |
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