Prakash Paudel, MD - Medicare Internal Medicine in Marlborough, MA

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Prakash Paudel, MD is a medicare enrolled "Internal Medicine" physician in Marlborough, Massachusetts. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is 157 Union St, Marlborough, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 486-5678.

Prakash Paudel is licensed to practice in Massachusetts (license number 260595) 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 1255731394.

Contact Information

Prakash Paudel, MD
157 Union St,
Marlborough, MA 01752-1228
(508) 486-5678
(508) 486-5677

Map and Direction




Physician's Profile

Full NamePrakash Paudel
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location157 Union St, Marlborough, Massachusetts
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:
  • Prakash Paudel graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1255731394
  • Provider Enumeration Date: 08/26/2014
  • Last Update Date: 10/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678793429
  • Enrollment ID: I20171227002409

Medical Identifiers

Medical identifiers for Prakash Paudel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255731394NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 260595 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911889

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. Prakash Paudel allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameBerkshire Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295765261
PECOS PAC ID: 1355232711
Enrollment ID: O20040324000088
Entity NameSound Physicians Of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740678408
PECOS PAC ID: 2062554637
Enrollment ID: O20100120000133
Entity NameHospitalist Medicine Physicians Of Massachusetts - Worcester, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538648670
PECOS PAC ID: 5799035887
Enrollment ID: O20180911003318

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. Prakash Paudel 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
Prakash Paudel, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: (800) 225-8885		Prakash Paudel, MD
157 Union St,
Marlborough, MA 01752-1228

Ph: (508) 486-5678

Reviews and Comments


Internal Medicine Doctors in Marlborough, MA

Dr. Usha Bandari, MD
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Practice Location: 246 Maple St, Marlborough, MA 01752
Phone: 508-229-2227    Fax: 508-485-5298
Kathleen Eva White, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 340 Maple St, Suite 203, Marlborough, MA 01752
Phone: 508-485-7779    Fax: 508-485-7769
Lalita A Matta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 65 Fremont St, Marlborough, MA 01752
Phone: 508-303-8553    
Susan E Donohue, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 157 Union St, Marlborough, MA 01752
Phone: 508-486-6700    Fax: 508-229-1227
Oluwaseun Adaramola,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 157 Union St, Marlborough, MA 01752
Phone: 508-486-5678    Fax: 508-486-5677
Vinay Kumar, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 Union Street, Marlborough, MA 01752
Phone: 508-460-3872    Fax: 508-836-9518
Dr. Humaira A Mahmud, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Bolton Street, Kidney & Hypertension Clinic Inc., Marlborough, MA 01752
Phone: 508-281-5953    Fax: 508-229-2343

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.