John Puthenpurackal John, MD | |
514 W 3rd Ave, Warren, PA 16365-2201 | |
(814) 723-5545 | |
(814) 723-6355 |
Full Name | John Puthenpurackal John |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 33 Years |
Location | 514 W 3rd Ave, Warren, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497789507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD051025L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Warren General Hospital | Warren, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Childrens Center For Treatment And Education | 4880750017 | 6 |
Deerfield Behavioral Health Of Warren, Llc | 8325935661 | 7 |
Entity Name | Deerfield Behavioral Health Of Warren, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134158314 PECOS PAC ID: 8325935661 Enrollment ID: O20040302000638 |
Entity Name | Childrens Center For Treatment And Education |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366609646 PECOS PAC ID: 4880750017 Enrollment ID: O20090312000564 |
Mailing Address | Practice Location Address |
---|---|
John Puthenpurackal John, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 | John Puthenpurackal John, MD 514 W 3rd Ave, Warren, PA 16365-2201 Ph: (814) 723-5545 |
Dr. Herman Grishaver, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crescent Park, Warren, PA 16365 Phone: 814-723-1961 Fax: 814-723-6543 | |
Dr. Charles Bryan Norton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 | |
Dr. Ernesto Roederer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-5545 Fax: 814-723-6355 |