Anish Paudel, MD - Medicare Internal Medicine in West Reading, PA

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Anish Paudel, MD is a medicare enrolled "Internal Medicine" physician in West Reading, Pennsylvania. His current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 628-8640.

Anish Paudel is licensed to practice in Pennsylvania (license number MT217324) 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 1295396380.

Contact Information

Anish Paudel, MD
420 S 5th Ave,
West Reading, PA 19611-2143
(484) 628-8640
(484) 628-9003

Map and Direction




Physician's Profile

Full NameAnish Paudel
GenderMale
SpecialityInternal Medicine
Location420 S 5th Ave, West Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295396380
  • Provider Enumeration Date: 06/28/2019
  • Last Update Date: 06/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8628304086
  • Enrollment ID: I20250425001605

Medical Identifiers

Medical identifiers for Anish Paudel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295396380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT217324 (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. Anish Paudel allows following entities to bill medicare on his behalf.
Entity NameRegional Gastroenterology Associates Of Lancaster, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154422806
PECOS PAC ID: 4688575434
Enrollment ID: O20040115000777

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. Anish Paudel 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
Anish Paudel, MD
Po Box 13579,
Reading, PA 19612-3579

Ph: () -		Anish Paudel, MD
420 S 5th Ave,
West Reading, PA 19611-2143

Ph: (484) 628-8640

Reviews and Comments


Internal Medicine Doctors in West Reading, PA

Ankush Lahoti, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, Suite 2020, West Reading, PA 19611
Phone: 610-375-6565    Fax: 610-375-2065
Tayyab Ali Waheed, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 301 S 7th Ave Ste 2020, West Reading, PA 19611
Phone: 610-375-6565    
Richard Loynd, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6th Avenue And Spruce Street, West Reading, PA 19611
Phone: 484-628-8640    Fax: 484-628-9003
Chinwe Chibundo Anekwe, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 301 S 7th Ave Ste 120, West Reading, PA 19611
Phone: 484-628-4630    
Krysta Brown, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave Ste 340, West Reading, PA 19611
Phone: 484-628-8640    Fax: 484-628-9003
Niranjan Tachamo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-5455    
Earl J Hope, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, Suite 2020, West Reading, PA 19611
Phone: 610-375-6565    Fax: 610-375-2065

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.