Miss Regina Ann Puthen Purackal, PT is a medicare enrolled "Physical Therapist" provider in Brooklyn Park, Maryland. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Fox Rehab Pt Md Llc and her current practice location is
613 Hammonds Ln, Brooklyn Park, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 350-8514.
Miss Regina Ann Puthen Purackal is licensed to practice in Maryland (license number 17682) 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 1639331515.
Healthcare Provider's Profile
Full Name | Miss Regina Ann Puthen Purackal |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 31 Years |
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Location | 613 Hammonds Ln, Brooklyn Park, Maryland |
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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. |
Medical Education and Training:
- Miss Regina Ann Puthen Purackal graduated from medical school in 1993
NPI Data:
- NPI Number: 1639331515
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 03/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 1850781154
- Enrollment ID: I20211130002739
Medical Identifiers
Medical identifiers for Miss Regina Ann Puthen Purackal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639331515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 17682 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fox Rehab Pt Md Llc | 6709028822 | 71 |
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. Miss Regina Ann Puthen Purackal allows following entities to bill medicare on her behalf.
Provider Name | Fox Rehab Pt Md Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
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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. Miss Regina Ann Puthen Purackal 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 |
Miss Regina Ann Puthen Purackal, PT 601 Fellowship Way, Odenton, MD 21113-2425 Ph: (443) 472-5630 | Miss Regina Ann Puthen Purackal, PT 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 Ph: (410) 350-8514 |
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