Dr Pratibha P Rao, MD - Medicare Hospitalist in Montclair, NJ

Dr Pratibha P Rao, MD is a medicare enrolled "Hospitalist" physician in Montclair, New Jersey. She graduated from medical school in 1994 and has 30 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.

Contact Information

Dr Pratibha P Rao, MD
1 Bay Ave,
Montclair, NJ 07042-4837
(973) 429-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Pratibha P Rao
GenderFemale
SpecialityHospitalist
Experience30 Years
Location1 Bay Ave, Montclair, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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: 07/08/2007
  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.
IdentifierTypeStateIssuer
1346231263NPI-NPPES
0075825MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA07823300 (New Jersey)Primary
208D00000XGeneral Practice 25MA07823300 (New Jersey)Primary
208M00000XHospitalist 25MA07823300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley HospitalRidgewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Physician Services Pc3577857333402

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 NameValley Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824

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 AddressPractice 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

Reviews and Comments


Hospitalist Doctors in Montclair, NJ

Dr. Tochukwu G. Mbolu, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 862-333-4700    Fax: 973-893-5439
Nadeem Wain, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 732-801-6350    
Dr. Ryan M Monti, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Bay Avenue Montclair, Montclair, NJ 07042
Phone: 973-429-6196    Fax: 973-429-6575

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.