Payal V Patel, MD - Medicare Family Practice in Pawtucket, RI

Payal V Patel, MD is a medicare enrolled "Family Medicine" physician in Pawtucket, Rhode Island. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Montefiore Medical Center and her current practice location is 111 Brewster St, Fcc Team C, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-2769.

Payal V Patel is licensed to practice in Rhode Island (license number LP03789) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1194175034.

Contact Information

Payal V Patel, MD
111 Brewster St, Fcc Team C,
Pawtucket, RI 02860-4474
(401) 729-2769
(401) 729-2772

Map and Direction




Physician's Profile

Full NamePayal V Patel
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Payal V Patel graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1194175034
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 07/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0547554214
  • Enrollment ID: I20190822002347

Medical Identifiers

Medical identifiers for Payal V Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194175034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LP03789 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montefiore Medical CenterBronx, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Montefiore Medical Center37794960212003

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. Payal V Patel allows following entities to bill medicare on her behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NamePlanned Parenthood Of Greater New York Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417959701
PECOS PAC ID: 7810293297
Enrollment ID: O20160310001603

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. Payal V 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
Payal V Patel, MD
111 Brewster St, Fcc Team C,
Pawtucket, RI 02860-4474

Ph: (401) 729-2769
Payal V Patel, MD
111 Brewster St, Fcc Team C,
Pawtucket, RI 02860-4474

Ph: (401) 729-2769

Reviews and Comments


Family Medicine Doctors in Pawtucket, RI

Amanda A Kelvey, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Fcc Team C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Nelson Mendes, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 381 Pawtucket Ave, Pawtucket, RI 02860
Phone: 401-965-4382    
Sara Elizabeth Holmes, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 530-448-1740    
Dr. Ashley Michelle Lakin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Fcc C, Pawtucket, RI 02860
Phone: 401-729-2769    Fax: 401-729-2772
Pearl Igwe, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2206    Fax: 401-921-6962
Marian Younge, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2304    Fax: 401-729-2923
Dawn M Borschel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-921-6924

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.