Dhurba Prasad Dhungana, MD - Medicare Family Medicine in Charles Town, WV

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Dhurba Prasad Dhungana, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Charles Town, West Virginia. His current practice location is 912 Somerset Blvd Ste 101, Charles Town, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 725-2663.

Dhurba Prasad Dhungana is licensed to practice in West Virginia (license number 33552) 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 1689179822.

Contact Information

Dhurba Prasad Dhungana, MD
912 Somerset Blvd Ste 101,
Charles Town, WV 25414-3954
(304) 725-2663
Not Available

Map and Direction




Physician's Profile

Full NameDhurba Prasad Dhungana
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location912 Somerset Blvd Ste 101, Charles Town, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689179822
  • Provider Enumeration Date: 03/29/2018
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961767389
  • Enrollment ID: I20230106000323

Medical Identifiers

Medical identifiers for Dhurba Prasad Dhungana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689179822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME149222 (Florida)Secondary
207QS0010XFamily Medicine - Sports Medicine MD478645 (Pennsylvania)Secondary
207QS0010XFamily Medicine - Sports Medicine 33552 (West Virginia)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. Dhurba Prasad Dhungana allows following entities to bill medicare on his behalf.
Entity NameTyrone Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659472447
PECOS PAC ID: 4183619885
Enrollment ID: O20040420000610

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. Dhurba Prasad Dhungana 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
Dhurba Prasad Dhungana, MD
154 Hospital Dr Ste 4,
Tyrone, PA 16686-1829

Ph: () -		Dhurba Prasad Dhungana, MD
912 Somerset Blvd Ste 101,
Charles Town, WV 25414-3954

Ph: (304) 725-2663

Reviews and Comments


Family Medicine Doctors in Charles Town, WV

Mr. Priyankar Sharma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414
Phone: 304-725-2273    Fax: 304-725-9843
Brea Calhoun, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 84 Somerset Blvd, Charles Town, WV 25414
Phone: 304-728-8533    
Michael B Matela, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 912 Somerset Blvd Ste 102, Charles Town, WV 25414
Phone: 304-725-2273    

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.