Dr Pratikkumar Patel, MDMPH - Medicare Pediatrics in Charleston, WV

Dr Pratikkumar Patel, MDMPH is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Charleston, West Virginia. His current practice location is 830 Pennsylvania Ave Ste 401, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-1552.

Dr Pratikkumar Patel is licensed to practice in West Virginia (license number 27506) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467747527.

Contact Information

Dr Pratikkumar Patel, MDMPH
830 Pennsylvania Ave Ste 401,
Charleston, WV 25302-3390
(304) 388-1552
Not Available

Map and Direction




Physician's Profile

Full NameDr Pratikkumar Patel
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location830 Pennsylvania Ave Ste 401, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467747527
  • Provider Enumeration Date: 06/16/2011
  • Last Update Date: 07/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901175702
  • Enrollment ID: I20170711002086

Medical Identifiers

Medical identifiers for Dr Pratikkumar Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467747527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 27506 (West Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program BP10040436 (Texas)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 27506 (West Virginia)Primary

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 Pratikkumar Patel allows following entities to bill medicare on his behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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 Pratikkumar 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 Pratikkumar Patel, MDMPH
6431 Fannin St, Suite 3.137,
Houston, TX 77030-1501

Ph: () -
Dr Pratikkumar Patel, MDMPH
830 Pennsylvania Ave Ste 401,
Charleston, WV 25302-3390

Ph: (304) 388-1552

Reviews and Comments


Pediatrics Doctors in Charleston, WV

Dr. John M Eckerd, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302
Phone: 304-388-1552    Fax: 304-388-1577
Jane Elizabeth Nicholas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-414-1880    Fax: 304-414-1886
Afif S Habash, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-442-8117    
Mrs. Mary C Pozega, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-7001    Fax: 304-925-7234
Youmna Mousattat, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-2525    
Dr. Stefan Randolph Maxwell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302
Phone: 304-388-2238    Fax: 304-388-2243
Dr. Steven Lee Berry, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-6004    Fax: 304-388-3360

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.