Sanju Padiyedathu Ittan, FNP-BC in Bronx, NY - Medicare Nurse Practitioner

Sanju Padiyedathu Ittan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. His current practice location is 1825 Eastchester Rd, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (845) 709-0173.

Sanju Padiyedathu Ittan is licensed to practice in New York (license number F338336) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457750200.

Contact Information

	Sanju Padiyedathu Ittan, FNP-BC
	1825 Eastchester Rd, Bronx, NY 10461-2301
	(845) 709-0173
	Not Available

Map and Direction

Provider's Profile

Full Name	Sanju Padiyedathu Ittan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1825 Eastchester Rd, Bronx, 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: 1457750200
Provider Enumeration Date: 08/18/2014
Last Update Date: 08/18/2014

Medicare PECOS Information:

PECOS PAC ID: 6204159767
Enrollment ID: I20150108001472

Medical Identifiers

Medical identifiers for Sanju Padiyedathu Ittan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457750200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F338336 (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. Sanju Padiyedathu Ittan allows following entities to bill medicare on his behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Sanju Padiyedathu Ittan 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
Sanju Padiyedathu Ittan, FNP-BC 160 N Main St Apt 26b, New City, NY 10956-3811 Ph: (845) 709-0173	Sanju Padiyedathu Ittan, FNP-BC 1825 Eastchester Rd, Bronx, NY 10461-2301 Ph: (845) 709-0173

Reviews and Comments

Nurse Practitioner Nurses in Bronx, NY

Ms. Christina Marie Araujo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Mickle Ave, Bronx, NY 10469 Phone: 718-652-4647
Tandika Boatswain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Mrs. Oluebere Chinyere Nwokocha, REGISTERED NURSE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276
Mrs. Ashley Rae Noboa, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3415 Bainbridge Ave, Bronx, NY 10467 Phone: 718-920-7200 Fax: 718-547-2929
Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Sanju Padiyedathu Ittan, FNP-BC - Medicare Nurse Practitioner in Bronx, NY