Mrs Diane Giselle Kanjilal, FNP is a medicare enrolled "Family Medicine" in Boston, Massachusetts. Her current practice location is
55 Fruit St # 504f, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 643-9958.
Mrs Diane Giselle Kanjilal is licensed to practice in Massachusetts (license number RN2310852) 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 1265199244.
Provider's Profile
Full Name | Mrs Diane Giselle Kanjilal |
---|
Gender | Female |
---|
Speciality | Family Medicine |
---|
Location | 55 Fruit St # 504f, Boston, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265199244
- Provider Enumeration Date: 11/24/2021
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042603383
- Enrollment ID: I20220208002710
Medical Identifiers
Medical identifiers for Mrs Diane Giselle Kanjilal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265199244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | RN2310852 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | RN2310852 (Massachusetts) | 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. Mrs Diane Giselle Kanjilal allows following entities to bill medicare on her behalf.
Entity Name | Massachusetts General Physicians Organization Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
---|
Entity Name | The General Hospital Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
---|
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. Mrs Diane Giselle Kanjilal 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 |
Mrs Diane Giselle Kanjilal, FNP 55 Fruit St # 504f, Boston, MA 02114-2696 Ph: (617) 643-9958 | Mrs Diane Giselle Kanjilal, FNP 55 Fruit St # 504f, Boston, MA 02114-2696 Ph: (617) 643-9958 |
Reviews and Comments