Neethu S Athimattathil, FNP-BC in Douglasville, GA

Neethu S Athimattathil, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Douglasville, Georgia. Her current practice location is 4645 Timber Ridge Dr Ste 160, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 434-0374.

Neethu S Athimattathil is licensed to practice in Georgia (license number RN297221) 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 1922744218.

Contact Information

	Neethu S Athimattathil, FNP-BC
	4645 Timber Ridge Dr Ste 160, Douglasville, GA 30135-7542
	(678) 434-0374
	Not Available

Map and Direction

Provider's Profile

Full Name	Neethu S Athimattathil
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4645 Timber Ridge Dr Ste 160, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922744218
Provider Enumeration Date: 05/09/2022
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 8628455110
Enrollment ID: I20220523002524

Medical Identifiers

Medical identifiers for Neethu S Athimattathil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922744218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN297221 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN297221 (Georgia)	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. Neethu S Athimattathil allows following entities to bill medicare on her behalf.

Entity Name	Atlanta Allergy & Asthma Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598796195 PECOS PAC ID: 1254372006 Enrollment ID: O20050523000011

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. Neethu S Athimattathil 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
Neethu S Athimattathil, FNP-BC 4645 Timber Ridge Dr Ste 160, Douglasville, GA 30135-7542 Ph: () -	Neethu S Athimattathil, FNP-BC 4645 Timber Ridge Dr Ste 160, Douglasville, GA 30135-7542 Ph: (678) 434-0374

Reviews and Comments

Nurse Practitioner Nurses in Douglasville, GA

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Neethu S Athimattathil, FNP-BC - Medicare Nurse Practitioner in Douglasville, GA