Mrs Susamma Thomas Idicula, ANP in New York, NY

Mrs Susamma Thomas Idicula, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. Her current practice location is 120 West 106 Street, The Jewish Home & Hospital, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 870-5000.

Mrs Susamma Thomas Idicula is licensed to practice in New York (license number F305565-1) 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 1720387343.

Contact Information

	Mrs Susamma Thomas Idicula, ANP
	120 West 106 Street, The Jewish Home & Hospital, New York, NY 10025-0000
	(212) 870-5000
	(212) 870-4905

Map and Direction

Provider's Profile

Full Name	Mrs Susamma Thomas Idicula
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	120 West 106 Street, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720387343
Provider Enumeration Date: 03/22/2011
Last Update Date: 03/22/2011

Medicare PECOS Information:

PECOS PAC ID: 8224203617
Enrollment ID: I20111214000023

Medical Identifiers

Medical identifiers for Mrs Susamma Thomas Idicula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720387343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F305565-1 (New York)	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 Susamma Thomas Idicula allows following entities to bill medicare on her behalf.

Entity Name	Jewish Home Lifecare, Manhattan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639244742 PECOS PAC ID: 1153231212 Enrollment ID: O20040608000119

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 Susamma Thomas Idicula 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 Susamma Thomas Idicula, ANP 120 W 106th St, New York, NY 10025-3923 Ph: (212) 870-5000	Mrs Susamma Thomas Idicula, ANP 120 West 106 Street, The Jewish Home & Hospital, New York, NY 10025-0000 Ph: (212) 870-5000

Reviews and Comments

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Mrs Susamma Thomas Idicula, ANP - Medicare Nurse Practitioner in New York, NY