Mrs Suby Aby Panichikudiyil, NP in Greenfield, WI

Mrs Suby Aby Panichikudiyil, NP is a medicare enrolled "Nurse Practitioner" in Greenfield, Wisconsin. Her current practice location is 4131 W Loomis Rd, Suite 300, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 325-7246.

Mrs Suby Aby Panichikudiyil is licensed to practice in Wisconsin (license number 6643-33) 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 1790158186.

Contact Information

	Mrs Suby Aby Panichikudiyil, NP
	4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057
	(414) 325-7246
	(414) 325-3770

Map and Direction

Provider's Profile

Full Name	Mrs Suby Aby Panichikudiyil
Gender	Female
Speciality	Nurse Practitioner
Location	4131 W Loomis Rd, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790158186
Provider Enumeration Date: 11/06/2015
Last Update Date: 01/16/2018

Medicare PECOS Information:

PECOS PAC ID: 4981905411
Enrollment ID: I20151229000234

Medical Identifiers

Medical identifiers for Mrs Suby Aby Panichikudiyil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790158186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6643-33 (Wisconsin)	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 Suby Aby Panichikudiyil allows following entities to bill medicare on her behalf.

Entity Name	Advanced Pain Management Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20031209000560

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 Suby Aby Panichikudiyil 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 Suby Aby Panichikudiyil, NP 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 Ph: (414) 325-7246	Mrs Suby Aby Panichikudiyil, NP 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221-2057 Ph: (414) 325-7246

Reviews and Comments

Nurse Practitioner Nurses in Greenfield, WI

Lauren D Stieber, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Susan L Hafemann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-762-4225
Kinjal Parekh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 414-231-3130
Anna E Seckar-anderson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Jane A Kunst, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770
Ms. Ana M Sanchez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Ms. Heidi R Hochhausen, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770

Mrs Suby Aby Panichikudiyil, NP - Medicare Nurse Practitioner in Greenfield, WI