Dr Parvathy Thaikkendiyil, MD in Stockton, CA

Dr Parvathy Thaikkendiyil, MD is a medicare enrolled "Pediatrics" physician in Stockton, California. Her current practice location is 1414 N California St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 468-6820.

Dr Parvathy Thaikkendiyil is licensed to practice in California (license number C56108) 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 1770774622.

Contact Information

	Dr Parvathy Thaikkendiyil, MD
	1414 N California St, Stockton, CA 95202-1515
	(209) 468-6820
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Parvathy Thaikkendiyil
Gender	Female
Speciality	Pediatrics
Location	1414 N California St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770774622
Provider Enumeration Date: 08/06/2007
Last Update Date: 02/20/2017

Medicare PECOS Information:

PECOS PAC ID: 8527154780
Enrollment ID: I20131023000181

Medical Identifiers

Medical identifiers for Dr Parvathy Thaikkendiyil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770774622	NPI	-	NPPES
C56108	Other	CA	LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36117972 (Illinois)	Secondary
208000000X	Pediatrics	C56108 (California)	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. Dr Parvathy Thaikkendiyil allows following entities to bill medicare on her behalf.

Entity Name	County Of San Joaquin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287

Entity Name	San Joaquin Faculty Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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 Parvathy Thaikkendiyil 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
Dr Parvathy Thaikkendiyil, MD 1414 N California St, Stockton, CA 95202-1515 Ph: (209) 468-6820	Dr Parvathy Thaikkendiyil, MD 1414 N California St, Stockton, CA 95202-1515 Ph: (209) 468-6820

Reviews and Comments

Pediatrics Doctors in Stockton, CA

Dr. Erica R Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207 Phone: 209-478-2622
Amparo Romero-hirahara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Davina Elvina Lopes De Menezes, Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-373-2859 Fax: 209-373-2873
John Arnel T. Macapinlac, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Daksha V. Vaid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2349 N California St, Stockton, CA 95204 Phone: 209-469-2229 Fax: 209-466-2436
Ange Mouttapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907

Dr Parvathy Thaikkendiyil, MD - Medicare Pediatrics in Stockton, CA