Dr Taniya Pradhan, MD - Medicare Psychiatry in Ottumwa, IA

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Dr Taniya Pradhan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ottumwa, Iowa. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Henry Ford Medical Group, Memorial Health Partners Foundation, Inc, Saint Thomas Medical Partners, Memorial Health Partners Foundation, Inc, Baptist Health Services, Baptist Memorial Medical Group, Inc., St. Agnes Healthcare, Inc. and her current practice location is 1001 Pennsylvania Ave, Ottumwa, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 684-2300.

Dr Taniya Pradhan is licensed to practice in Michigan (license number EMC0001038) 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 1275709859.

Contact Information

Dr Taniya Pradhan, MD
1001 Pennsylvania Ave,
Ottumwa, IA 52501-6427
(641) 684-2300
Not Available

Map and Direction




Physician's Profile

Full NameDr Taniya Pradhan
GenderFemale
SpecialityPsychiatry
Experience21 Years
Location1001 Pennsylvania Ave, Ottumwa, Iowa
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 Taniya Pradhan graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1275709859
  • Provider Enumeration Date: 05/05/2008
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274751706
  • Enrollment ID: I20210621001342

Medical Identifiers

Medical identifiers for Dr Taniya Pradhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275709859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 29150 (Mississippi)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry E-15283 (Arkansas)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25383 (West Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 63768 (Tennessee)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry EMC0001038 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reynolds Memorial HospitalGlen dale, WVHospital
Memorial Healthcare System, IncChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095
Memorial Health Partners Foundation, Inc8022919570303
Saint Thomas Medical Partners1557269354519
Memorial Health Partners Foundation, Inc8022919570303
Baptist Health Services0648514133128
Baptist Memorial Medical Group, Inc.5193610228433
St. Agnes Healthcare, Inc.9830092733237

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 Taniya Pradhan allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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 Taniya Pradhan 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 Taniya Pradhan, MD
1 Ford Pl Ste 2e,
Detroit, MI 48202-3450

Ph: (313) 874-4806		Dr Taniya Pradhan, MD
1001 Pennsylvania Ave,
Ottumwa, IA 52501-6427

Ph: (641) 684-2300

Reviews and Comments


Psychiatry & Neurology Doctors in Ottumwa, IA

Jimmy R. Mascaro, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 312 E Alta Vista Ave, Ottumwa, IA 52501
Phone: 641-683-4454    Fax: 641-683-4450
Quentin Stokes Dickins Jr., M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1112 N Van Buren Ave, Suite 3, Ottumwa, IA 52501
Phone: 641-682-8302    Fax: 641-682-6534
Marc E Hines, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1313 N Court St, Suite B, Ottumwa, IA 52501
Phone: 641-682-4978    Fax: 641-682-0722
Dr. Cyndi J Mccormick, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 201 S Market St, Ottumwa, IA 52501
Phone: 641-683-5773    Fax: 641-226-5759
Dr. Joseph Hime Iii, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501
Phone: 641-682-7511    
Dr. Ronald Ray Berges, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1112 N Van Buren Ave, Ottumwa, IA 52501
Phone: 641-684-7744    

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.