Dr Priyal Patel, MD - Medicare General Surgery in Allentown, PA

Dr Priyal Patel, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Allentown, Pennsylvania. She went to University Of Alabama School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Lehigh Valley Physician Group and her current practice location is 1240 S Cedar Crest Blvd Ste 308, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 402-1350.

Dr Priyal Patel is licensed to practice in Pennsylvania (license number MD462894) 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 1578827820.

Contact Information

Dr Priyal Patel, MD
1240 S Cedar Crest Blvd Ste 308,
Allentown, PA 18103-6370
(610) 402-1350
Not Available

Map and Direction




Physician's Profile

Full NameDr Priyal Patel
GenderFemale
SpecialityGeneral Surgery
Experience12 Years
Location1240 S Cedar Crest Blvd Ste 308, Allentown, Pennsylvania
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 Priyal Patel attended and graduated from University Of Alabama School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1578827820
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 04/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648417543
  • Enrollment ID: I20230427000175

Medical Identifiers

Medical identifiers for Dr Priyal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578827820NPI-NPPES
1578827820MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MT202479 (Pennsylvania)Secondary
2086S0127XSurgery - Trauma Surgery MD462894 (Pennsylvania)Primary
204F00000XTransplant Surgery A155341 (California)Secondary
204F00000XTransplant Surgery 73556 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Home CareAllentown, PAHome health agency
Lehigh Valley HospitalAllentown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231763

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 Priyal Patel allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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 Priyal 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 Priyal Patel, MD
9200 W Wisconsin Ave,
Milwaukee, WI 53226-3522

Ph: (414) 805-6400
Dr Priyal Patel, MD
1240 S Cedar Crest Blvd Ste 308,
Allentown, PA 18103-6370

Ph: (610) 402-1350

Reviews and Comments


Surgery Doctors in Allentown, PA

Robert D Barraco, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103
Phone: 610-402-1350    Fax: 610-402-1356
Rovinder Singh Sandhu, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1240 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-1350    
Dr. Daniel Ryan Latta, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-482-8000    
Heiwon Chung, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1240 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103
Phone: 610-402-7884    
Heather Lynn Geist, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-8000    
William D Hardin Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1259 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-1259    
Charles J Scagliotti, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1255 S Cedar Crest Blvd, Ste 1100, Allentown, PA 18103
Phone: 610-770-3270    Fax: 610-432-3249

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.