SUSANNAMMA LIJAN PMHNP NPI 1003424102

Nurse Practitioner (Psychiatric/Mental Health) in Phoenix, AZ

NPI 1003424102 Individual Female Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled

About SUSANNAMMA LIJAN

Susannamma Lijan is a provider established in Phoenix, Arizona and her medical specialization is nurse practitioner (psychiatric/mental health) . The NPI number of Susannamma Lijan is 1003424102 and was assigned on July 2020. The practitioner's primary taxonomy code is 363LP0808X with license number 246807 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.

A nurse practitioner (NP) like Susannamma Lijan Pmhnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Susannamma Lijan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Susannamma Lijan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003424102

Provider Name SUSANNAMMA LIJAN PMHNP
Provider Location Address2601 E ROOSEVELT ST PHOENIX, AZ 85008
Provider Mailing Address2601 E ROOSEVELT ST PHOENIX, AZ 85008
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-15-2020
Last Update Date10-19-2020


Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.246807
License StateAZ

Business Address

SUSANNAMMA LIJAN PMHNP
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-5345

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Mailing Address

SUSANNAMMA LIJAN PMHNP
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-5345



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225028384MRS. JUDITH RITA GALLOB MSN,APRN-BC,ANP
Individual
Registered Nurse (Occupational Health)2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5210
1083696934DR. SCOTT L. VAN DA HUVEL
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1639151566DR. BASMA T. ADWAN D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1063494904DR. RONALD W. MARCUS D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1184606832DR. CRAIG W. POOL D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1447232160DR. PAUL C. ROHNER D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1659353381DR. SONJA A. CARL D.M.D.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1811979545DR. TERRENCE T. YU D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1851373583DR. JERILYN A. PETROVICH D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1700868445DR. GENE M. GARSHA D.M.D.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1912989666DR. DOUGLAS C. RHODES D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1497737043MS. GERALDINE A. FALCONER-FERNEAU N.P.
Individual
Nurse Practitioner2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1851373302MS. BEVERLY R. CHARMAN N.N.P.
Individual
Nurse Practitioner (Neonatal)2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1033191515MS. KATHLEEN E. OPEL N.N.P.
Individual
Nurse Practitioner (Neonatal)2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1407838923DR. ROSCOE C. WILLIAMS D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1114909678MS. MARGARET E. GATEWOOD N.N.P.
Individual
Nurse Practitioner (Neonatal)2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1457333924MS. PATRICIA J. JOHNSON N.N.P.
Individual
Nurse Practitioner (Neonatal)2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1982686465MS. ROBERTA M. VIDULICH N.P.
Individual
Nurse Practitioner2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1053393546MS. SUSAN M. VITUS N.P.
Individual
Nurse Practitioner2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011
1821070343DR. DAVID M. KOLINSKI D.D.S.
Individual
Dentist2601 E ROOSEVELT ST
PHOENIX, AZ 85008
(602) 344-5011

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.