Hetal B Patel, MD - Medicare Emergency Medicine in San Diego, CA

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Hetal B Patel, MD is a medicare enrolled "Emergency Medicine" physician in San Diego, California. His current practice location is 12526 High Bluff Dr Ste 300, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (760) 655-3902.

Hetal B Patel is licensed to practice in Illinois (license number 036125902) 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 1447221767.

Contact Information

Hetal B Patel, MD
12526 High Bluff Dr Ste 300,
San Diego, CA 92130-2067
(760) 655-3902
Not Available

Map and Direction




Physician's Profile

Full NameHetal B Patel
GenderMale
SpecialityEmergency Medicine
Location12526 High Bluff Dr Ste 300, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447221767
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113174285
  • Enrollment ID: I20140916002551

Medical Identifiers

Medical identifiers for Hetal B Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447221767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A130735 (California)Secondary
207P00000XEmergency Medicine 036125902 (Illinois)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. Hetal B Patel allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Group Of Encinitas, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902805179
PECOS PAC ID: 7618929381
Enrollment ID: O20050210000997
Entity NameSuperior Joint And Spine Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679093728
PECOS PAC ID: 1052655867
Enrollment ID: O20181205002252
Entity NameAdvanced Joint And Spine Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962930628
PECOS PAC ID: 2163765298
Enrollment ID: O20190513002491

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. Hetal B 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
Hetal B Patel, MD
12526 High Bluff Dr Ste 300,
San Diego, CA 92130-2067

Ph: (760) 655-3902		Hetal B Patel, MD
12526 High Bluff Dr Ste 300,
San Diego, CA 92130-2067

Ph: (760) 655-3902

Reviews and Comments


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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).

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