Praful Patel, MD - Medicare Internal Medicine in Wilmington, NC

Praful Patel, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Wilmington, North Carolina. His current practice location is 1415 Physicians Dr, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 662-9500.

Praful Patel is licensed to practice in North Carolina (license number 39056) 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 1720048457.

Contact Information

Praful Patel, MD
1415 Physicians Dr,
Wilmington, NC 28401-7338
(910) 662-9500
Not Available

Map and Direction




Physician's Profile

Full NamePraful Patel
GenderMale
SpecialityInternal Medicine - Clinical Cardiac Electrophysiology
Location1415 Physicians Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720048457
  • Provider Enumeration Date: 03/25/2006
  • Last Update Date: 09/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042231789
  • Enrollment ID: I20051209000420

Medical Identifiers

Medical identifiers for Praful Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720048457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 39056 (North Carolina)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. Praful Patel allows following entities to bill medicare on his behalf.
Entity NameBrunswick Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669725198
PECOS PAC ID: 9335150895
Enrollment ID: O20130903000403
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540

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. Praful 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
Praful Patel, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Praful Patel, MD
1415 Physicians Dr,
Wilmington, NC 28401-7338

Ph: (910) 662-9500

Reviews and Comments


Internal Medicine Doctors in Wilmington, NC

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Dr. Regina Marie Jensen, MD
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Mary Kathryn Rudyk, M.D.
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Practice Location: 1709 S 16th St Ste A, Wilmington, NC 28401
Phone: 910-452-8633    Fax: 910-452-8569
Gregory Roberts, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401
Phone: 910-341-3300    Fax: 910-341-7946

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.