Pradeep Adumala, MD is a medicare enrolled "Pediatrics" physician in Conyngham,, Oregon. His current practice location is
314 South Main Street, Conyngham,, Oregon. You can reach out to his office (for appointments etc.) via phone at
(570) 708-1500.
Pradeep Adumala is licensed to practice in Pennsylvania (license number MD468261) 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 1770983272.
Physician's Profile
| Full Name | Pradeep Adumala |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 314 South Main Street, Conyngham,, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770983272
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577782432
- Enrollment ID: I20140909000534
Medical Identifiers
Medical identifiers for Pradeep Adumala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770983272 | NPI | - | NPPES |
| 103660812-0001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | MD468261 (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. Pradeep Adumala allows following entities to bill medicare on his behalf.
| Entity Name | Southern Jersey Family Medical Centers, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774 |
|---|
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. Pradeep Adumala 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 |
Pradeep Adumala, MD 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (707) 902-3915 | Pradeep Adumala, MD 314 South Main Street, Conyngham,, OR 18219-0395 Ph: (570) 708-1500 |
Reviews and Comments