Kunjumol Pullathra Velayudhan, ANP - Medicare Nurse Practitioner in Evergreen Park, IL

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Kunjumol Pullathra Velayudhan, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Evergreen Park, Illinois. Her current practice location is 3650 W 95th St, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 422-7715.

Kunjumol Pullathra Velayudhan is licensed to practice in Illinois (license number 209006239) 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 1124215264.

Contact Information

Kunjumol Pullathra Velayudhan, ANP
3650 W 95th St,
Evergreen Park, IL 60805-2108
(708) 422-7715
(708) 422-7816

Map and Direction




Provider's Profile

Full NameKunjumol Pullathra Velayudhan
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location3650 W 95th St, Evergreen Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124215264
  • Provider Enumeration Date: 10/03/2007
  • Last Update Date: 02/25/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3870673171
  • Enrollment ID: I20071227000344

Medical Identifiers

Medical identifiers for Kunjumol Pullathra Velayudhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124215264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209006239 (Illinois)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. Kunjumol Pullathra Velayudhan allows following entities to bill medicare on her behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameSkyline Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568704443
PECOS PAC ID: 9133367931
Enrollment ID: O20130606000709

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. Kunjumol Pullathra Velayudhan 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
Kunjumol Pullathra Velayudhan, ANP
3650 W 95th St,
Evergreen Park, IL 60805-2108

Ph: (708) 422-7715		Kunjumol Pullathra Velayudhan, ANP
3650 W 95th St,
Evergreen Park, IL 60805-2108

Ph: (708) 422-7715

Reviews and Comments


Nurse Practitioner Nurses in Evergreen Park, IL

Angelika Fiedorowicz, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2955 W 95th St, Evergreen Park, IL 60805
Phone: 331-204-5896    
Kristin Rogers,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Eilish Marie Mulvey,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Mrs. Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805
Phone: 708-422-7715    
Christine Cho,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2800 W 95th St, Evergreen Park, IL 60805
Phone: 708-229-5002    
Matthew David Rathbun, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2955 W 95th St, Evergreen Park, IL 60805
Phone: 331-814-2186    

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.