Dr Pragnesh A Patel, MD - Medicare Cardiovascular Disease (cardiology) in Jefferson City, TN

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Dr Pragnesh A Patel, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Jefferson City, Tennessee. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Genesis Heart And Vascular Associates, Pllc and his current practice location is 120 Hospital Dr Ste 260, Jefferson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 839-2525.

Dr Pragnesh A Patel is licensed to practice in Tennessee (license number MD0000045390) 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 1568529006.

Contact Information

Dr Pragnesh A Patel, MD
120 Hospital Dr Ste 260,
Jefferson City, TN 37760-5283
(423) 839-2525
(423) 839-2424

Map and Direction




Physician's Profile

Full NameDr Pragnesh A Patel
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience33 Years
Location120 Hospital Dr Ste 260, Jefferson City, Tennessee
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 Pragnesh A Patel graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1568529006
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577532191
  • Enrollment ID: I20100217000377

Medical Identifiers

Medical identifiers for Dr Pragnesh A Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568529006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology MD0000045390 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-jefferson Memorial HospitalJefferson city, TNHospital
Newport Medical CenterNewport, TNHospital
Physicians Regional Medical CenterPowell, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesis Heart And Vascular Associates, Pllc64061573202

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 Pragnesh A Patel allows following entities to bill medicare on his behalf.
Entity NameGenesis Heart And Vascular Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376916932
PECOS PAC ID: 6406157320
Enrollment ID: O20151218001448

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 Pragnesh A 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 Pragnesh A Patel, MD
120 Hospital Dr Ste 260,
Jefferson City, TN 37760-5283

Ph: (319) 331-8323		Dr Pragnesh A Patel, MD
120 Hospital Dr Ste 260,
Jefferson City, TN 37760-5283

Ph: (423) 839-2525

Reviews and Comments


Internal Medicine Doctors in Jefferson City, TN

William W Ramsey, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760
Phone: 865-475-4742    Fax: 865-262-0100
Dr. Hong I Tjoa, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr Ste 250, Jefferson City, TN 37760
Phone: 865-471-2570    Fax: 865-471-2571
Lance S Patton, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760
Phone: 865-475-4742    Fax: 865-262-0100
Richard Baird, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Hospital Dr, Jefferson City, TN 37760
Phone: 865-471-2300    
John Austin Kirby, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr, Ste 130, Jefferson City, TN 37760
Phone: 865-475-4742    Fax: 865-262-0100
Dr. Douglas Len Damron, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Hospital Dr, Jefferson City, TN 37760
Phone: 865-471-2360    
Fnu Avinashsingh Eswarsingh, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 120 Hospital Dr Ste 100, Jefferson City, TN 37760
Phone: 865-471-2570    Fax: 865-471-2571

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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