Dr Sanjay D Patel, MD - Medicare Family Medicine in Wake Forest, NC

Dr Sanjay D Patel, MD is a medicare enrolled "Family Medicine" physician in Wake Forest, North Carolina. His current practice location is 11635 Northpark Dr, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 570-6060.

Dr Sanjay D Patel is licensed to practice in North Carolina (license number 2011-01665) 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 1376560938.

Contact Information

Dr Sanjay D Patel, MD
11635 Northpark Dr,
Wake Forest, NC 27587-6526
(919) 570-6060
(919) 570-0404

Map and Direction




Physician's Profile

Full NameDr Sanjay D Patel
GenderMale
SpecialityFamily Medicine
Location11635 Northpark Dr, Wake Forest, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376560938
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 05/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7214955582
  • Enrollment ID: I20111025000772

Medical Identifiers

Medical identifiers for Dr Sanjay D Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376560938NPI-NPPES
30006798MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9143 (New Hampshire)Secondary
207Q00000XFamily Medicine 2011-01665 (North Carolina)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 Sanjay D Patel allows following entities to bill medicare on his behalf.
Entity NameDuke University Affiliated Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316975972
PECOS PAC ID: 3779489588
Enrollment ID: O20031211000642

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 Sanjay D 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 Sanjay D Patel, MD
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (919) 620-4917
Dr Sanjay D Patel, MD
11635 Northpark Dr,
Wake Forest, NC 27587-6526

Ph: (919) 570-6060

Reviews and Comments


Family Medicine Doctors in Wake Forest, NC

Dr. Philip D Burton,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 123 Capcom Ave, Suite One, Wake Forest, NC 27587
Phone: 919-554-0177    
Tida Lam, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1964 S Main St, Wake Forest, NC 27587
Phone: 919-554-0177    Fax: 919-554-9277
Ben-hwa Hu, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 S Main St, Wake Forest, NC 27587
Phone: 919-350-0365    
Dr. Manuel Evangelos Bulauitan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1964 S Main St, Wake Forest, NC 27587
Phone: 919-554-0177    
Dr. Sherif George Naguib, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6217 Tiffield Way, Wake Forest, NC 27587
Phone: 919-824-0589    Fax: 919-453-0198
Kofi Bruce Mensah, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 851 Durham Road, Suite D, Wake Forest, NC 27587
Phone: 919-554-0900    Fax: 336-784-1116

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.