Anil Pradhan, MD - Medicare Pediatrics in Bradford, PA

Anil Pradhan, MD is a medicare enrolled "Pediatrics" physician in Bradford, Pennsylvania. His current practice location is 116 Interstate Parkway, Bradford, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 362-8390.

Anil Pradhan is licensed to practice in Pennsylvania (license number MD081720E) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639122609.

Contact Information

Anil Pradhan, MD
116 Interstate Parkway,
Bradford, PA 16701-0000
(814) 362-8390
Not Available

Map and Direction




Physician's Profile

Full NameAnil Pradhan
GenderMale
SpecialityPediatrics
Location116 Interstate Parkway, Bradford, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639122609
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 02/04/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5294966412
  • Enrollment ID: I20140401000219

Medical Identifiers

Medical identifiers for Anil Pradhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639122609NPI-NPPES
0007774520003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD081720E (Pennsylvania)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. Anil Pradhan allows following entities to bill medicare on his behalf.
Entity NameSouthern Tier Community Health Center Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184654477
PECOS PAC ID: 3375513724
Enrollment ID: O20191016001181

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. Anil Pradhan 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
Anil Pradhan, MD
116 Interstate Parkway,
Bradford, PA 16701-0000

Ph: (814) 362-8390
Anil Pradhan, MD
116 Interstate Parkway,
Bradford, PA 16701-0000

Ph: (814) 362-8390

Reviews and Comments


Pediatrics Doctors in Bradford, PA

Rebecca Miller, MD
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Practice Location: 116 Interstate Pkwy, Fourth Floor, Bradford, PA 16701
Phone: 814-362-8390    
Narayan Nayak, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 195 Pleasant St, Bradford, PA 16701
Phone: 814-362-8390    
Sri Nidhi Ganji, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 116 Interstate Pkwy Ste 42, Bradford, PA 16701
Phone: 814-736-2183    Fax: 814-362-8385
Joseph H Goro, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 116 Interstate Pkwy, Bradford, PA 16701
Phone: 814-368-3123    Fax: 814-363-2701

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.