Dr Neil M Badlani, MD - Medicare Orthopedic Surgery in San Diego, CA

Dr Neil M Badlani, MD is a medicare enrolled "Orthopaedic Surgery" physician in San Diego, California. He went to University Of Pittsburgh School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mark Provenzano Md Pa and his current practice location is 200 W Arbor Dr, Mc 8894, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-6222.

Dr Neil M Badlani is licensed to practice in California (license number A98086) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1730344763.

Contact Information

Dr Neil M Badlani, MD
200 W Arbor Dr, Mc 8894,
San Diego, CA 92103-9001
(619) 543-6222
Not Available

Map and Direction




Physician's Profile

Full NameDr Neil M Badlani
GenderMale
SpecialityOrthopedic Surgery
Experience20 Years
Location200 W Arbor Dr, San Diego, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Neil M Badlani attended and graduated from University Of Pittsburgh School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1730344763
  • Provider Enumeration Date: 07/18/2008
  • Last Update Date: 07/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3072742998
  • Enrollment ID: I20140218001189

Medical Identifiers

Medical identifiers for Dr Neil M Badlani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730344763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A98086 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mark Provenzano Md Pa15574130445

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 Neil M Badlani allows following entities to bill medicare on his behalf.
Entity NameMark Provenzano Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720261456
PECOS PAC ID: 1557413044
Enrollment ID: O20090714000537

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 Neil M Badlani 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 Neil M Badlani, MD
200 W Arbor Dr, Mc 8894,
San Diego, CA 92103-9001

Ph: (619) 543-6222
Dr Neil M Badlani, MD
200 W Arbor Dr, Mc 8894,
San Diego, CA 92103-9001

Ph: (619) 543-6222

Reviews and Comments


Orthopaedic Surgery Doctors in San Diego, CA

Michelle Marie Gosselin, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134
Phone: 203-640-5521    
Dr. Steven Alexander Burekhovich, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3030 Childrens Way, San Diego, CA 92123
Phone: 858-966-6789    
Eric William Edmonds, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123
Phone: 858-966-6789    
Steven Tradonsky, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5643 Copley Dr Ste 300, San Diego, CA 92111
Phone: 858-455-9942    Fax: 858-455-6473
Dr. Richard D Perlman, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123
Phone: 858-715-9200    Fax: 858-715-9202
Peter Owen Newton, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123
Phone: 858-966-6789    
Oke Adrian Anakwenze, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111
Phone: 858-300-2260    Fax: 858-300-2260

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).

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