Dr Theethaye Lonappan Ittiara, MD - Medicare Psychiatry in Adrian, MI

Dr Theethaye Lonappan Ittiara, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Adrian, Michigan. He graduated from medical school in 1966 and has 58 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Arab American And Chaldean Council and his current practice location is 142 E Maumee St, Adrian, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 263-5810.

Dr Theethaye Lonappan Ittiara is licensed to practice in Michigan (license number 4301031889) 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 1174585475.

Contact Information

Dr Theethaye Lonappan Ittiara, MD
142 E Maumee St,
Adrian, MI 49221-2735
(517) 263-5810
Not Available



Physician's Profile

Full NameDr Theethaye Lonappan Ittiara
GenderMale
SpecialityPsychiatry
Experience58 Years
Location142 E Maumee St, Adrian, Michigan
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:
  • Dr Theethaye Lonappan Ittiara graduated from medical school in 1966
  NPI Data:
  • NPI Number: 1174585475
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0143280560
  • Enrollment ID: I20041012000086

Medical Identifiers

Medical identifiers for Dr Theethaye Lonappan Ittiara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174585475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301031889 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arab American And Chaldean Council23654018749

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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. Dr Theethaye Lonappan Ittiara allows following entities to bill medicare on his behalf.
Entity NameArab American And Chaldean Council
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861673543
PECOS PAC ID: 2365401874
Enrollment ID: O20041008000669

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Entity NameTheethaye Ittiara Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881968394
PECOS PAC ID: 8325057474
Enrollment ID: O20060418000372

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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. Dr Theethaye Lonappan Ittiara 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
Dr Theethaye Lonappan Ittiara, MD
5442 Pine View Dr,
Ypsilanti, MI 48197-8963

Ph: (734) 485-0868
Dr Theethaye Lonappan Ittiara, MD
142 E Maumee St,
Adrian, MI 49221-2735

Ph: (517) 263-5810

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Read more News

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Psychiatry & Neurology Doctors in Adrian, MI

Dr. Maureen Salopek Noble, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 S Winter St, Suite 1022, Adrian, MI 49221
Phone: 517-263-8905    
Dr. Sylvia Anagnos, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 777 Kimole Ln Ste 250, Adrian, MI 49221
Phone: 419-291-3900    Fax: 419-479-6055
Dr. Moina Hassan, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 S Winter St, Adrian, MI 49221
Phone: 517-263-8905    Fax: 517-263-7616
Thresiamma Jacob, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 142 E Maumee St, Adrian, MI 49221
Phone: 517-263-5810    
Manish Prasad, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 S Winter St, Adrian, MI 49221
Phone: 517-263-8905    
Luven Marie Sequerra Tejero, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 S Winter St, Adrian, MI 49221
Phone: 517-263-8905    

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