Prabha Pai, MD - Medicare Pathology in Summit, NJ

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Prabha Pai, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Summit, New Jersey. She graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Summit Medical Group Pa and her current practice location is 99 Beauvoir Ave, Summit, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 522-2361.

Prabha Pai is licensed to practice in New Jersey (license number 25MA03541400) 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 1407940240.

Contact Information

Prabha Pai, MD
99 Beauvoir Ave,
Summit, NJ 07901-3533
(908) 522-2361
(908) 522-2320

Map and Direction




Physician's Profile

Full NamePrabha Pai
GenderFemale
SpecialityPathology
Experience51 Years
Location99 Beauvoir Ave, Summit, New Jersey
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:
  • Prabha Pai graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1407940240
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1456418003
  • Enrollment ID: I20090325000671

Medical Identifiers

Medical identifiers for Prabha Pai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407940240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA03541400 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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. Prabha Pai allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Prabha Pai 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
Prabha Pai, MD
99 Beauvoir Ave,
Summit, NJ 07901-3533

Ph: (908) 522-2189		Prabha Pai, MD
99 Beauvoir Ave,
Summit, NJ 07901-3533

Ph: (908) 522-2361

Reviews and Comments


Pathology Doctors in Summit, NJ

Dr. Mona Labat, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 99 Beauvoir Ave, Pathology Department, Summit, NJ 07901
Phone: 908-522-2189    Fax: 908-522-2320
Dr. Sushama Dileep Karmarkar, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 908-522-2146    Fax: 908-522-2320

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.