Komal Patel, is a medicare enrolled "Nurse Practitioner - Family" physician in Ellicott City, Maryland. Her current practice location is
3300 Centennial Ln, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 776-0765.
Komal Patel is licensed to practice in Maryland (license number R219909) 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 1295373744.
Physician's Profile
| Full Name | Komal Patel |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3300 Centennial Ln, Ellicott City, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295373744
- Provider Enumeration Date: 12/16/2019
- Last Update Date: 01/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244668275
- Enrollment ID: I20200325000910
Medical Identifiers
Medical identifiers for Komal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295373744 | NPI | - | NPPES |
| R219909 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | R219909 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R219909 (Maryland) | 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. Komal Patel allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20041216000704 |
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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. Komal 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 Address | Practice Location Address |
Komal Patel, 3300 Centennial Ln, Ellicott City, MD 21042-3600 Ph: (410) 750-9439 | Komal Patel, 3300 Centennial Ln, Ellicott City, MD 21042-3600 Ph: (443) 776-0765 |
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