Pradeep R Bankulla, MD in Philadelphia, PA - Medicare Diagnostic Radiology

Pradeep R Bankulla, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Progressive Physician Assoc Inc, Progressive Physician Assoc Inc and his current practice location is 4900 Frankford Ave, Attn: Radiology, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (602) 910-6887.

Pradeep R Bankulla is licensed to practice in Pennsylvania (license number MD431933) 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 1235171968.

Contact Information

	Pradeep R Bankulla, MD
	4900 Frankford Ave, Attn: Radiology, Philadelphia, PA 19124-2618
	(602) 910-6887
	(215) 612-5077

Map and Direction

Physician's Profile

Full Name	Pradeep R Bankulla
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	4900 Frankford Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. 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 R Bankulla graduated from medical school in 1995

NPI Data:

NPI Number: 1235171968
Provider Enumeration Date: 06/10/2006
Last Update Date: 07/26/2019

Medicare PECOS Information:

PECOS PAC ID: 8022010685
Enrollment ID: I20070726000592

Medical Identifiers

Medical identifiers for Pradeep R Bankulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235171968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	MD431933 (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD431933 (Pennsylvania)	Primary
2085R0204X	Radiology - Vascular & Interventional Radiology	25MA08298700 (New Jersey)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	25MA08298700 (New Jersey)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital
Geisinger St. Luke's Hospital	Orwigsburg, PA	Hospital
St Lukes Quakertown Hospital	Quakertown, PA	Hospital
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Progressive Physician Assoc Inc	1355243809	118
Progressive Physician Assoc Inc	1355243809	118

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 R Bankulla allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Imaging Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093786410 PECOS PAC ID: 1254231087 Enrollment ID: O20040109000455

Entity Name	Progressive Physician Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Pottstown Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649341934 PECOS PAC ID: 6406857184 Enrollment ID: O20070123000573

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 R Bankulla 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 R Bankulla, MD Po Box 782743, Attn: Credentialing, Philadelphia, PA 19178-2743 Ph: (602) 910-6887	Pradeep R Bankulla, MD 4900 Frankford Ave, Attn: Radiology, Philadelphia, PA 19124-2618 Ph: (602) 910-6887

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627

Pradeep R Bankulla, MD - Medicare Diagnostic Radiology in Philadelphia, PA