Prafulla Martin-garg, MD, FAAP - Medicare Pediatric Medicine in Logan, UT

Prafulla Martin-garg, MD, FAAP is a medicare enrolled "Pediatrics" physician in Logan, Utah. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1350 N 500 E, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 792-1940.

Prafulla Martin-garg is licensed to practice in Utah (license number 51468161205) 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 1437168721.

Contact Information

Prafulla Martin-garg, MD, FAAP
1350 N 500 E,
Logan, UT 84341-2400
(435) 792-1940
Not Available

Map and Direction




Physician's Profile

Full NamePrafulla Martin-garg
GenderFemale
SpecialityPediatric Medicine
Experience30 Years
Location1350 N 500 E, Logan, Utah
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:
  • Prafulla Martin-garg graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1437168721
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 07/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0042395261
  • Enrollment ID: I20080312000564

Medical Identifiers

Medical identifiers for Prafulla Martin-garg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437168721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 51468161205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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. Prafulla Martin-garg allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Prafulla Martin-garg 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
Prafulla Martin-garg, MD, FAAP
1350 N 500 E,
Logan, UT 84341-2400

Ph: (435) 792-1940
Prafulla Martin-garg, MD, FAAP
1350 N 500 E,
Logan, UT 84341-2400

Ph: (435) 792-1940

Reviews and Comments


Pediatrics Doctors in Logan, UT

Nordell T Brown, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    
Russel T Mckenna, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341
Phone: 435-750-5599    Fax: 435-750-0861
Scott D Dickson, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-716-1820    Fax: 435-716-1693
John Dennis Odell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    
Cason James Wortley, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2245 N 400 E Ste 202, Logan, UT 84341
Phone: 435-753-7337    
Daniel M Sandgren, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1940    

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.