Ms Peggy Punnoose Kalathil, NP-C in Los Angeles, CA

Ms Peggy Punnoose Kalathil, NP-C is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. Her current practice location is 100 Ucla Medical Plz Ste 690, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 206-2235.

Ms Peggy Punnoose Kalathil is licensed to practice in California (license number 12741) 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 1073771242.

Contact Information

	Ms Peggy Punnoose Kalathil, NP-C
	100 Ucla Medical Plz Ste 690, Los Angeles, CA 90024-7000
	(310) 206-2235
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Peggy Punnoose Kalathil
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	100 Ucla Medical Plz Ste 690, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073771242
Provider Enumeration Date: 05/23/2008
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8022237254
Enrollment ID: I20140919001234

Medical Identifiers

Medical identifiers for Ms Peggy Punnoose Kalathil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073771242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	539691 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	12741 (California)	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. Ms Peggy Punnoose Kalathil allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Ms Peggy Punnoose Kalathil 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
Ms Peggy Punnoose Kalathil, NP-C 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Ms Peggy Punnoose Kalathil, NP-C 100 Ucla Medical Plz Ste 690, Los Angeles, CA 90024-7000 Ph: (310) 206-2235

Reviews and Comments

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Ms Peggy Punnoose Kalathil, NP-C - Medicare Nurse Practitioner in Los Angeles, CA