Dr Nikunj Prafulbhai Patel, MD - Medicare Internal Medicine in Hanover, PA

Dr Nikunj Prafulbhai Patel, MD is a medicare enrolled "Internal Medicine" physician in Hanover, Pennsylvania. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Integrated Medical Group P C, Penn State Health Community Medical Group Llc and his current practice location is 300 Highland Ave, Hanover, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 316-3711.

Dr Nikunj Prafulbhai Patel is licensed to practice in Pennsylvania (license number MD453538) 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 1548573405.

Contact Information

Dr Nikunj Prafulbhai Patel, MD
300 Highland Ave,
Hanover, PA 17331
(717) 316-3711
(717) 316-3049

Map and Direction




Physician's Profile

Full NameDr Nikunj Prafulbhai Patel
GenderMale
SpecialityInternal Medicine
Experience26 Years
Location300 Highland Ave, Hanover, Pennsylvania
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 Nikunj Prafulbhai Patel graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1548573405
  • Provider Enumeration Date: 07/21/2010
  • Last Update Date: 04/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810182565
  • Enrollment ID: I20141224001068

Medical Identifiers

Medical identifiers for Dr Nikunj Prafulbhai Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548573405NPI-NPPES
102986599MedicaidPA
P00938053OtherWVMEDICARE RR
3810018933MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 24128 (West Virginia)Secondary
207R00000XInternal Medicine MD453538 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Health NetworkPottsville, PAHome health agency
Schuylkill Medical Center - South Jackson StreetPottsville, PAHospital
Holy Spirit HospitalCamp hill, PAHospital
Lancaster General HospitalLancaster, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Medical Group P C1355247180101
Penn State Health Community Medical Group Llc8729351077646

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 Nikunj Prafulbhai Patel allows following entities to bill medicare on his behalf.
Entity NameIntegrated Medical Group P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336102268
PECOS PAC ID: 1355247180
Enrollment ID: O20031211000232
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NamePinnacle Health Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023458148
PECOS PAC ID: 9739313545
Enrollment ID: O20131010001079
Entity NamePinnacle Health Regional Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013441690
PECOS PAC ID: 7416228358
Enrollment ID: O20170810001731
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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 Nikunj Prafulbhai Patel 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 Nikunj Prafulbhai Patel, MD
300 Highland Ave,
Hanover, PA 17331-2297

Ph: () -
Dr Nikunj Prafulbhai Patel, MD
300 Highland Ave,
Hanover, PA 17331

Ph: (717) 316-3711

Reviews and Comments


Internal Medicine Doctors in Hanover, PA

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Dr. Ayman A. Bishay, M.D.
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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.