Prajesh Mani Ghimire, MD - Medicare Family Practice in Saratoga Springs, NY

Prajesh Mani Ghimire, MD is a medicare enrolled "Family Medicine" physician in Saratoga Springs, New York. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Albany Medical College and his current practice location is 2 Tommy Luther Dr, Saratoga Springs, New York. You can reach out to his office (for appointments etc.) via phone at (518) 581-0892.

Prajesh Mani Ghimire is licensed to practice in North Carolina (license number 2011-01067) 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 1821300401.

Contact Information

Prajesh Mani Ghimire, MD
2 Tommy Luther Dr,
Saratoga Springs, NY 12866-6054
(518) 581-0892
Not Available

Map and Direction




Physician's Profile

Full NamePrajesh Mani Ghimire
GenderMale
SpecialityFamily Practice
Experience16 Years
Location2 Tommy Luther Dr, Saratoga Springs, New York
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:
  • Prajesh Mani Ghimire graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1821300401
  • Provider Enumeration Date: 07/12/2010
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193987949
  • Enrollment ID: I20120503000072

Medical Identifiers

Medical identifiers for Prajesh Mani Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821300401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2011-01067 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Albany Medical Center HospitalAlbany, NYHospital
Columbia Memorial HospitalHudson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany Medical College1759293111910

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. Prajesh Mani Ghimire allows following entities to bill medicare on his behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497921688
PECOS PAC ID: 1759293111
Enrollment ID: O20190320001621

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. Prajesh Mani Ghimire 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
Prajesh Mani Ghimire, MD
113 Deanna Ct,
Niskayuna, NY 12309-1333

Ph: (518) 330-2843
Prajesh Mani Ghimire, MD
2 Tommy Luther Dr,
Saratoga Springs, NY 12866-6054

Ph: (518) 581-0892

Reviews and Comments


Family Medicine Doctors in Saratoga Springs, NY

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Susan Muller, M.D.
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Dr. Stephen Offord, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 211 Church St, Saratoga Springs, NY 12866
Phone: 518-587-1141    

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.