Dr Pratibha P Rao, MD is a medicare enrolled "General Practice" physician in Montclair, New Jersey. She graduated from medical school in 1994 and has 31 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Valley Physician Services Pc and her current practice location is
1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 429-6000.
Dr Pratibha P Rao is licensed to practice in New Jersey (license number 25MA07823300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346231263.
Physician's Profile
| Full Name | Dr Pratibha P Rao |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 31 Years |
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| Location | 1 Bay Ave, Montclair, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Pratibha P Rao graduated from medical school in 1994
NPI Data:
- NPI Number: 1346231263
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264462662
- Enrollment ID: I20050824000839
Medical Identifiers
Medical identifiers for Dr Pratibha P Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346231263 | NPI | - | NPPES |
| 0075825 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA07823300 (New Jersey) | Secondary |
| 208D00000X | General Practice | 25MA07823300 (New Jersey) | Primary |
| 208M00000X | Hospitalist | 25MA07823300 (New Jersey) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Valley Physician Services Pc | 3577857333 | 509 |
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 Pratibha P Rao allows following entities to bill medicare on her behalf.
| Entity Name | Valley Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824 |
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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 Pratibha P Rao 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 Address | Practice Location Address |
|---|
Dr Pratibha P Rao, MD
66 West Gilbert Street,
Red Bank, NJ 07701-4918
Ph: (732) 212-0060 | Dr Pratibha P Rao, MD
1 Bay Ave,
Montclair, NJ 07042-4837
Ph: (973) 429-6000 |
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