Jomon John Thekkethottiyil, - Medicare Clinical Social Worker in St Petersburg, FL

Jomon John Thekkethottiyil, is a medicare enrolled "Social Worker - Clinical" provider in St Petersburg, Florida. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 4024 Central Ave, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 327-7656.

Jomon John Thekkethottiyil is licensed to practice in Florida (license number SW10806) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023376894.

Contact Information

Jomon John Thekkethottiyil,
4024 Central Ave,
St Petersburg, FL 33711-1239
(727) 327-7656
Not Available



Healthcare Provider's Profile

Full NameJomon John Thekkethottiyil
GenderMale
SpecialityClinical Social Worker
Experience21 Years
Location4024 Central Ave, St Petersburg, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jomon John Thekkethottiyil graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1023376894
  • Provider Enumeration Date: 04/30/2012
  • Last Update Date: 06/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022253897
  • Enrollment ID: I20130327000146

Medical Identifiers

Medical identifiers for Jomon John Thekkethottiyil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023376894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW10806 (Florida)Primary
101Y00000XCounselor SW10806 (Florida)Secondary

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. Jomon John Thekkethottiyil allows following entities to bill medicare on his behalf.
Entity NameNewlight Psychiatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477058691
PECOS PAC ID: 9931456605
Enrollment ID: O20180726001069

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Entity NameCentral Florida Psychotherapy Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689286809
PECOS PAC ID: 0446679393
Enrollment ID: O20200928000985

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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. Jomon John Thekkethottiyil 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 AddressPractice Location Address
Jomon John Thekkethottiyil,
3835 Misty Landing Dr,
Valrico, FL 33594-4802

Ph: (727) 424-8423
Jomon John Thekkethottiyil,
4024 Central Ave,
St Petersburg, FL 33711-1239

Ph: (727) 327-7656

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Nearly four decades after President Richard Nixon declared a "War on Cancer," the disease still claims the lives of 560,000 Americans every year, despite an annual expenditure of $5 billion by the U.S. government on research to battle it.

How many men have osteoporosis?

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› Verified 4 days ago


Social Worker in St Petersburg, FL

Daniele Herrmann, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 800 Carillon Pkwy, St Petersburg, FL 33716
Phone: 800-662-9508    
Nancy Rae Russell, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 6737 1st Ave S, St Petersburg, FL 33707
Phone: 727-341-1000    Fax: 727-341-1000
William Jason Vejcik, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 855 Central Ave Unit 1114, St Petersburg, FL 33701
Phone: 313-400-7875    
Melissa Davidson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702
Phone: 786-246-2732    
Erin St John,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1001 16th St S, St Petersburg, FL 33705
Phone: 727-327-7656    Fax: 727-322-2130
Eileen Stoner, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4024 Central Ave, St Petersburg, FL 33711
Phone: 727-327-7656    Fax: 727-388-1192

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