Mrs Jessy Tom Pattaniyil, NPC in Philadelphia, PA

Mrs Jessy Tom Pattaniyil, NPC is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Pennsylvania Llc and her current practice location is 6501 Harbison Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 333-4300.

Mrs Jessy Tom Pattaniyil is licensed to practice in Pennsylvania (license number SP010182) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780827816.

Contact Information

	Mrs Jessy Tom Pattaniyil, NPC
	6501 Harbison Ave, Philadelphia, PA 19149-2912
	(215) 333-4300
	(215) 333-2044

Map and Direction

Provider's Profile

Full Name	Mrs Jessy Tom Pattaniyil
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	6501 Harbison Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jessy Tom Pattaniyil graduated from nursing school in 2006

NPI Data:

NPI Number: 1780827816
Provider Enumeration Date: 04/20/2009
Last Update Date: 05/24/2022

Medicare PECOS Information:

PECOS PAC ID: 6507904083
Enrollment ID: I20091104000299

Medical Identifiers

Medical identifiers for Mrs Jessy Tom Pattaniyil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780827816	NPI	-	NPPES
1007278000	Other	PA	TPI MEDICAID GROUP ID
597586	Other	PA	TPI MEDICARE GROUP
CD4829	Other	PA	TPI RAILROAD MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP010182 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Of Pennsylvania Llc	5395827307	111

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 Jessy Tom Pattaniyil allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250

Entity Name	Minuteclinic Video Virtual Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777

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 Jessy Tom Pattaniyil 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 Jessy Tom Pattaniyil, NPC 6501 Harbison Ave, Philadelphia, PA 19149-2912 Ph: (215) 333-4300	Mrs Jessy Tom Pattaniyil, NPC 6501 Harbison Ave, Philadelphia, PA 19149-2912 Ph: (215) 333-4300

Reviews and Comments

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Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
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Mrs Jessy Tom Pattaniyil, NPC - Medicare Nurse Practitioner in Philadelphia, PA