Dr Priya Ghanshyam Patel, MD - Medicare Obstetrics & Gynecology in York, PA

Dr Priya Ghanshyam Patel, MD is a medicare enrolled "Obstetrics & Gynecology" physician in York, Pennsylvania. Her current practice location is 2050 S Queen St Ste 200, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 812-2316.

Dr Priya Ghanshyam Patel is licensed to practice in Pennsylvania (license number MD478105) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144711128.

Contact Information

Dr Priya Ghanshyam Patel, MD
2050 S Queen St Ste 200,
York, PA 17403-4829
(717) 812-2316
(717) 848-5540

Map and Direction




Physician's Profile

Full NameDr Priya Ghanshyam Patel
GenderFemale
SpecialityObstetrics & Gynecology
Location2050 S Queen St Ste 200, York, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144711128
  • Provider Enumeration Date: 05/24/2018
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173905502
  • Enrollment ID: I20220802002705

Medical Identifiers

Medical identifiers for Dr Priya Ghanshyam Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144711128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD478105 (Pennsylvania)Primary
207V00000XObstetrics & Gynecology MT215070 (Pennsylvania)Secondary

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 Priya Ghanshyam Patel allows following entities to bill medicare on her behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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 Priya Ghanshyam 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 Priya Ghanshyam Patel, MD
3421 Concord Rd,
York, PA 17402-9001

Ph: (717) 812-2316
Dr Priya Ghanshyam Patel, MD
2050 S Queen St Ste 200,
York, PA 17403-4829

Ph: (717) 812-2316

Reviews and Comments


Obstetrics & Gynecology Doctors in York, PA

Dr. Michael Paul Russo, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4222 Lincoln Hwy, York, PA 17406
Phone: 717-812-7800    Fax: 717-812-7811
Sumithra Jeganathan,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 35 Monument Rd Ste 202, York, PA 17403
Phone: 717-851-2722    Fax: 717-851-3127
Dr. Jahnea Chanel Williams, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1001 S George St, York, PA 17403
Phone: 717-812-4602    Fax: 717-812-3499
Katherine Nicole Prowell, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1693 S Queen St, York, PA 17403
Phone: 717-845-1621    
Dr. Norman F. Navarro, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1000 S George St, York, PA 17403
Phone: 717-851-2348    Fax: 717-851-2426
Kelley D. Clark, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 35 Monument Rd Ste 202, York, PA 17403
Phone: 717-851-2722    Fax: 717-851-3127
Dr. Gretchen Eh Makai, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2860 Whiteford Rd Unit 1, York, PA 17402
Phone: 717-988-8170    Fax: 717-221-5398

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.