Saja C Puthiyottil, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beloit, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Stateline Anesthesiologists Sc and her current practice location is
1969 W Hart Rd, Attn: Anesthesia Dept, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 364-5355.
Saja C Puthiyottil is licensed to practice in Wisconsin (license number 6833-33) 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 1285093351.
Provider's Profile
| Full Name | Saja C Puthiyottil |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 1969 W Hart Rd, Beloit, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Saja C Puthiyottil graduated from nursing school in 2019
NPI Data:
- NPI Number: 1285093351
- Provider Enumeration Date: 02/18/2016
- Last Update Date: 10/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537467071
- Enrollment ID: I20191209001218
Medical Identifiers
Medical identifiers for Saja C Puthiyottil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285093351 | NPI | - | NPPES |
| 1285093351 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F0216734 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6833-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stateline Anesthesiologists Sc | 1355353822 | 16 |
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. Saja C Puthiyottil allows following entities to bill medicare on her behalf.
| Entity Name | Stateline Anesthesiologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316937519
PECOS PAC ID: 1355353822
Enrollment ID: O20060627000180 |
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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. Saja C Puthiyottil 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 |
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Saja C Puthiyottil, CRNA
3005 Riverside, Suite 206,
Beloit, WI 53511-1500
Ph: (608) 362-7444 | Saja C Puthiyottil, CRNA
1969 W Hart Rd, Attn: Anesthesia Dept,
Beloit, WI 53511-2230
Ph: (608) 364-5355 |
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