Axa Perumpalath, NP in Edinburg, TX - Medicare Nurse Practitioner

Axa Perumpalath, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Edinburg, Texas. Her current practice location is 5501 S Mccoll Rd, Edinburg, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 362-8677.

Axa Perumpalath is licensed to practice in Texas (license number 1156976) 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 1407614308.

Contact Information

	Axa Perumpalath, NP
	5501 S Mccoll Rd, Edinburg, TX 78539-5503
	(956) 362-8677
	(956) 362-7253

Map and Direction

Provider's Profile

Full Name	Axa Perumpalath
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	5501 S Mccoll Rd, Edinburg, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407614308
Provider Enumeration Date: 03/06/2024
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 8820437155
Enrollment ID: I20240418002794

Medical Identifiers

Medical identifiers for Axa Perumpalath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407614308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1156976 (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. Axa Perumpalath allows following entities to bill medicare on her behalf.

Entity Name	Renaissance Icu Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740715820 PECOS PAC ID: 6103213483 Enrollment ID: O20220505001314

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. Axa Perumpalath 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
Axa Perumpalath, NP Po Box 6148, Mcallen, TX 78502-6148 Ph: (956) 362-8677	Axa Perumpalath, NP 5501 S Mccoll Rd, Edinburg, TX 78539-5503 Ph: (956) 362-8677

Reviews and Comments

Nurse Practitioner Nurses in Edinburg, TX

Mrs. Rosalinda Rossow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 W University Dr, Esrh Student Health Services, Edinburg, TX 78539 Phone: 956-381-2511 Fax: 956-381-2512
Richard Coleman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4302 S Sugar Rd Ste 106, Edinburg, TX 78539 Phone: 956-381-4040
Angela Maria Tanguma, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4150 Crosspoint Blvd, Edinburg, TX 78539 Phone: 956-381-5817 Fax: 956-381-5397
Yanet Leija, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1114 Goodrich Dr, Edinburg, TX 78539 Phone: 956-460-5170
Sandee Zaldivar Carino, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5502 South Mccoll Rd, Edinburg, TX 78539 Phone: 956-361-4401
Mr. Adolfo Arteaga, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 Fax: 956-362-7253
Laura Iris Carrillo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-803-0153 Fax: 956-803-0135

Axa Perumpalath, NP - Medicare Nurse Practitioner in Edinburg, TX