Mrs Divyamol Lukose, CNP in Worcester, MA - Medicare Nurse Practitioner

Mrs Divyamol Lukose, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 441-6767.

Mrs Divyamol Lukose is licensed to practice in Massachusetts (license number RN2336104) 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 1750096756.

Contact Information

	Mrs Divyamol Lukose, CNP
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 441-6767
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Divyamol Lukose
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750096756
Provider Enumeration Date: 01/16/2023
Last Update Date: 01/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8123483294
Enrollment ID: I20230424002474

Medical Identifiers

Medical identifiers for Mrs Divyamol Lukose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750096756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN2336104 (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 Divyamol Lukose allows following entities to bill medicare on her behalf.

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

Entity Name	Cardiovascular Center At Tufts Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764253 PECOS PAC ID: 3870857816 Enrollment ID: O20180430000179

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 Divyamol Lukose 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 Divyamol Lukose, CNP 3 Point Rd Unit 2, Shrewsbury, MA 01545-4590 Ph: (508) 250-0060	Mrs Divyamol Lukose, CNP 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 441-6767

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Mrs Divyamol Lukose, CNP - Medicare Nurse Practitioner in Worcester, MA