Madhavi Madhurapantula, DO - Medicare Family Medicine in Wilkes Barre, PA

Madhavi Madhurapantula, DO is a medicare enrolled "Family Medicine" physician in Wilkes Barre, Pennsylvania. Her current practice location is 25 Church St, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 808-3181.

Madhavi Madhurapantula is licensed to practice in Pennsylvania (license number OS018176) 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 1184727141.

Contact Information

Madhavi Madhurapantula, DO
25 Church St,
Wilkes Barre, PA 18765-7701
(570) 808-3181
(570) 808-8935

Map and Direction




Physician's Profile

Full NameMadhavi Madhurapantula
GenderFemale
SpecialityFamily Medicine
Location25 Church St, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184727141
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 08/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5193823599
  • Enrollment ID: I20160630000067

Medical Identifiers

Medical identifiers for Madhavi Madhurapantula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184727141NPI-NPPES
2755535MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS018176 (Pennsylvania)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. Madhavi Madhurapantula allows following entities to bill medicare on her behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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. Madhavi Madhurapantula 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
Madhavi Madhurapantula, DO
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Madhavi Madhurapantula, DO
25 Church St,
Wilkes Barre, PA 18765-7701

Ph: (570) 808-3181

Reviews and Comments


Family Medicine Doctors in Wilkes Barre, PA

Dr. Bismah Najeeb, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7399    
Weber Wu, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702
Phone: 570-829-2621    Fax: 570-823-4332
Dr. Melita Konecke, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 575 N River St, Wilkes Barre, PA 18764
Phone: 570-552-7260    Fax: 570-552-7268
Dr. Arundev D Desai, MBBS
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711
Phone: 570-824-3521    
Stephanie A Gill, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 169 N Pennsylvania Ave, Wilkes Barre, PA 18701
Phone: 570-491-0126    Fax: 570-230-0013
Dr. Natasha May Wu, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-5484    

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.