Mr Jerry Idiculla Chandy, NP in Trenton, MI - Medicare Nurse Practitioner

Mr Jerry Idiculla Chandy, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Trenton, Michigan. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Trenton Total Health Care Center Pc and his current practice location is 1675 Kingsway Ct Ste 1, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 676-8530.

Mr Jerry Idiculla Chandy is licensed to practice in Michigan (license number 4704276954) 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 1023447695.

Contact Information

	Mr Jerry Idiculla Chandy, NP
	1675 Kingsway Ct Ste 1, Trenton, MI 48183-1958
	(734) 676-8530
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerry Idiculla Chandy
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1675 Kingsway Ct Ste 1, Trenton, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jerry Idiculla Chandy graduated from nursing school in 2013

NPI Data:

NPI Number: 1023447695
Provider Enumeration Date: 11/05/2013
Last Update Date: 11/05/2013

Medicare PECOS Information:

PECOS PAC ID: 9133343106
Enrollment ID: I20140612001812

Medical Identifiers

Medical identifiers for Mr Jerry Idiculla Chandy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023447695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704276954 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trenton Total Health Care Center Pc	0446425425	5

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. Mr Jerry Idiculla Chandy allows following entities to bill medicare on his behalf.

Entity Name	Downriver Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023044542 PECOS PAC ID: 1052319811 Enrollment ID: O20061110000223

Entity Name	Trenton Total Health Care Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932270584 PECOS PAC ID: 0446425425 Enrollment ID: O20111203000152

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. Mr Jerry Idiculla Chandy 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
Mr Jerry Idiculla Chandy, NP 1675 Kingsway Ct Ste 1, Trenton, MI 48183-1958 Ph: (734) 676-8530	Mr Jerry Idiculla Chandy, NP 1675 Kingsway Ct Ste 1, Trenton, MI 48183-1958 Ph: (734) 676-8530

Reviews and Comments

Nurse Practitioner Nurses in Trenton, MI

Mrs. Latoya Ellis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2727
Elizabeth Ann Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 130, Trenton, MI 48183 Phone: 734-362-7100 Fax: 734-671-1768
Staci Damiani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Kingsway Ct, Trenton, MI 48183 Phone: 734-676-8530 Fax: 734-676-2319
Ms. Janet T Sohn, R.N. M.S. C.S. F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2727
Derek Poley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 110, Trenton, MI 48183 Phone: 734-301-3125
Samreen Haroon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3645 West Rd, Trenton, MI 48183 Phone: 734-486-4200 Fax: 734-486-4202

Mr Jerry Idiculla Chandy, NP - Medicare Nurse Practitioner in Trenton, MI