Keziah Kallarakal, PSYD in Astoria, NY - Medicare Psychologist Provider

Keziah Kallarakal, PSYD is a medicare enrolled "Psychologist" provider in Astoria, New York. Her current practice location is 3811 Broadway Fl 3, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (718) 726-5953.

Keziah Kallarakal is licensed to practice in New York (license number 68 017125) 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 1629393194.

Contact Information

	Keziah Kallarakal, PSYD
	3811 Broadway Fl 3, Astoria, NY 11103-4045
	(718) 726-5953
	(718) 204-5308

Map and Direction

Healthcare Provider's Profile

Full Name	Keziah Kallarakal
Gender	Female
Speciality	Psychologist
Location	3811 Broadway Fl 3, Astoria, 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: 1629393194
Provider Enumeration Date: 03/29/2010
Last Update Date: 03/29/2010

Medicare PECOS Information:

PECOS PAC ID: 5799809422
Enrollment ID: I20100901000260

Medical Identifiers

Medical identifiers for Keziah Kallarakal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629393194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	68 017125 (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. Keziah Kallarakal allows following entities to bill medicare on her behalf.

Entity Name	Che Senior Psychological Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429

Entity Name	Psychological Health Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760

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. Keziah Kallarakal 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
Keziah Kallarakal, PSYD 3811 Broadway Fl 3, Astoria, NY 11103-4045 Ph: (718) 726-5953	Keziah Kallarakal, PSYD 3811 Broadway Fl 3, Astoria, NY 11103-4045 Ph: (718) 726-5953

Reviews and Comments

Psychologist in Astoria, NY

Cristina Mastellone, M.S. ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Dr. Irene Giusti, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16-15 9 Street, Private House, Astoria, NY 11102 Phone: 718-204-0233 Fax: 718-204-0234
Courtney Marie Owens, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2421 41st St Apt 5f, Astoria, NY 11103 Phone: 585-794-0753
Stacie Lurch, M.A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Dr. Rischa Connell Gottlieb, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4807 30th Ave, Apt 1, Astoria, NY 11103 Phone: 917-559-7209
Dr. Lizbeth Charley Ferrer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Ms. Nonda L Volpe, Psychologist Medicare: Medicare Enrolled Practice Location: 3407 41st Street, Apt 2l, Astoria, NY 11101 Phone: 917-279-6762

Keziah Kallarakal, PSYD - Medicare Psychologist in Astoria, NY