James Mathew Kallickal, ACAGNP - Medicare Nurse Practitioner in Pearland, TX

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James Mathew Kallickal, ACAGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Pearland, Texas. His current practice location is 3406 Business Center Dr, Pearland, Texas. You can reach out to his office (for appointments etc.) via phone at (346) 570-2284.

James Mathew Kallickal is licensed to practice in Texas (license number AP142979) 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 1619511276.

Contact Information

James Mathew Kallickal, ACAGNP
3406 Business Center Dr,
Pearland, TX 77584-4148
(346) 570-2284
Not Available

Map and Direction




Provider's Profile

Full NameJames Mathew Kallickal
GenderMale
SpecialityNurse Practitioner - Gerontology
Location3406 Business Center Dr, Pearland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619511276
  • Provider Enumeration Date: 11/06/2019
  • Last Update Date: 11/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305274515
  • Enrollment ID: I20200323002093

Medical Identifiers

Medical identifiers for James Mathew Kallickal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619511276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AP142979 (Texas)Primary
363LA2100XNurse Practitioner - Acute Care AP142979 (Texas)Secondary

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. James Mathew Kallickal allows following entities to bill medicare on his behalf.
Entity NameGeriatric Home Care Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952348229
PECOS PAC ID: 2769373588
Enrollment ID: O20040329001052
Entity NameFort Bend Geriatrics, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003838996
PECOS PAC ID: 7214075977
Enrollment ID: O20091117000609
Entity NameTrumen Physicians And Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134442320
PECOS PAC ID: 7618006883
Enrollment ID: O20100526000535

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. James Mathew Kallickal 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
James Mathew Kallickal, ACAGNP
1118 Concord Pl,
Missouri City, TX 77459-6770

Ph: (832) 263-0962		James Mathew Kallickal, ACAGNP
3406 Business Center Dr,
Pearland, TX 77584-4148

Ph: (346) 570-2284

Reviews and Comments


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Tracie Michelle Freddie,
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Adrian Nwosu,
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Phone: 832-971-6007    Fax: 832-697-1792

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.