Manoj Pulicottil, MD - Medicare Internal Medicine in Jacksonville, FL

Manoj Pulicottil, MD is a medicare enrolled "Internal Medicine" physician in Jacksonville, Florida. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is 4205 Belfort Rd, Joe Adams Bldg, Suite 2005, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 398-5123.

Manoj Pulicottil is licensed to practice in Massachusetts (license number 234503) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306877972.

Contact Information

Manoj Pulicottil, MD
4205 Belfort Rd, Joe Adams Bldg, Suite 2005,
Jacksonville, FL 32216-5876
(904) 398-5123
(904) 399-1962

Map and Direction




Physician's Profile

Full NameManoj Pulicottil
GenderMale
SpecialityInternal Medicine
Experience26 Years
Location4205 Belfort Rd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Manoj Pulicottil graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1306877972
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 05/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7416995055
  • Enrollment ID: I20130813000923

Medical Identifiers

Medical identifiers for Manoj Pulicottil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306877972NPI-NPPES
2149702MedicaidMA
412705254AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 055273 (Georgia)Secondary
207R00000XInternal Medicine 234503 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beyond Home Health Care Services LlcJacksonville, FLHome health agency
Community Hospice Of Northeast Florida IncJacksonville, FLHospice
Ascension St Vincent's SouthsideJacksonville, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188275

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. Manoj Pulicottil allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameSt Vincents Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878486
PECOS PAC ID: 2668664962
Enrollment ID: O20101005000809

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. Manoj Pulicottil 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 AddressPractice Location Address
Manoj Pulicottil, MD
4205 Belfort Rd, Joe Adams Bldg, Suite 2005,
Jacksonville, FL 32216-5876

Ph: (904) 398-5123
Manoj Pulicottil, MD
4205 Belfort Rd, Joe Adams Bldg, Suite 2005,
Jacksonville, FL 32216-5876

Ph: (904) 398-5123

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.