Pradeep Kumar, MD - Medicare Psychiatry in Plano, TX

Pradeep Kumar, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Plano, Texas. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Family And Child Guidance Centers and his current practice location is 3920 Alma Dr, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 422-5939.

Pradeep Kumar is licensed to practice in Texas (license number L8098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609823608.

Contact Information

Pradeep Kumar, MD
3920 Alma Dr,
Plano, TX 75023-6748
(972) 422-5939
(972) 422-1280

Map and Direction




Physician's Profile

Full NamePradeep Kumar
GenderMale
SpecialityPsychiatry
Experience32 Years
Location3920 Alma Dr, Plano, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pradeep Kumar graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1609823608
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 10/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214904945
  • Enrollment ID: I20040913001081

Medical Identifiers

Medical identifiers for Pradeep Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609823608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry L8098 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family And Child Guidance Centers115341371118

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 Kumar allows following entities to bill medicare on his behalf.
Entity NameFamily And Child Guidance Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811062367
PECOS PAC ID: 1153413711
Enrollment ID: O20070828000060
Entity NameNorth Texas Behavioral Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457720120
PECOS PAC ID: 2769804350
Enrollment ID: O20200629001278

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 Kumar 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
Pradeep Kumar, MD
3920 Alma Dr,
Plano, TX 75023-6748

Ph: (972) 422-5939
Pradeep Kumar, MD
3920 Alma Dr,
Plano, TX 75023-6748

Ph: (972) 422-5939

Reviews and Comments


Psychiatry & Neurology Doctors in Plano, TX

John Nichalos Kamphaus, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1700 Alma Dr, Suite 480, Plano, TX 75075
Phone: 972-422-2008    Fax: 972-422-4014
Paul Adrian Hansen, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Coit Rd, Suite 104, Plano, TX 75075
Phone: 972-566-5411    Fax: 972-519-8337
Baer Max Ackerman, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Alma Dr, Suite 480, Plano, TX 75075
Phone: 972-422-2008    Fax: 972-422-4014
Dr. Saadat Ali Khan, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4001 W 15th St Ste 375, Plano, TX 75093
Phone: 972-200-1272    Fax: 972-890-9159
Rishi A Patel, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 6404 International Pkwy Ste 1010, Plano, TX 75093
Phone: 972-267-1988    
Nancy D Donachie, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1820 Preston Park Blvd Ste 2500, Plano, TX 75093
Phone: 972-733-7242    Fax: 972-733-7257
Husnain Ashraf, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3447 Renner Rd Ste 120, Plano, TX 75074
Phone: 469-384-2989    

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).

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