Pranjalkumar H Patel, MD - Medicare Family Practice in Tracy, CA

Pranjalkumar H Patel, MD is a medicare enrolled "Family Medicine" physician in Tracy, California. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premiercare Physicians A California General Partnership and his current practice location is 1530 Bessie Ave, Suite 105, Tracy, California. You can reach out to his office (for appointments etc.) via phone at (209) 836-3967.

Pranjalkumar H Patel is licensed to practice in California (license number A116600) 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 1225233133.

Contact Information

Pranjalkumar H Patel, MD
1530 Bessie Ave, Suite 105,
Tracy, CA 95376-3080
(209) 836-3967
(209) 836-0626

Map and Direction




Physician's Profile

Full NamePranjalkumar H Patel
GenderMale
SpecialityFamily Practice
Experience25 Years
Location1530 Bessie Ave, Tracy, California
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:
  • Pranjalkumar H Patel graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1225233133
  • Provider Enumeration Date: 06/19/2007
  • Last Update Date: 06/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4688741283
  • Enrollment ID: I20110829000054

Medical Identifiers

Medical identifiers for Pranjalkumar H Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225233133NPI-NPPES
200924520MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A116600 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Life Springs Hospice CareFremont, CAHospice
Sutter Tracy Community HospitalTracy, CAHospital
Doctors Hospital Of MantecaManteca, CAHospital
Memorial Medical CenterModesto, CAHospital
St Joseph's Medical Center Of StocktonStockton, CAHospital
New Hope Post Acute CareTracy, CANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premiercare Physicians A California General Partnership57991130314

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. Pranjalkumar H Patel allows following entities to bill medicare on his behalf.
Entity NameSunil H Patel
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1730150848
PECOS PAC ID: 6901817246
Enrollment ID: I20060525000177
Entity NamePremiercare Physicians A California General Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871139485
PECOS PAC ID: 5799113031
Enrollment ID: O20200319001078

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. Pranjalkumar H 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
Pranjalkumar H Patel, MD
1530 Bessie Ave, Suite 105,
Tracy, CA 95376-3080

Ph: (209) 836-3967
Pranjalkumar H Patel, MD
1530 Bessie Ave, Suite 105,
Tracy, CA 95376-3080

Ph: (209) 836-3967

Reviews and Comments


Family Medicine Doctors in Tracy, CA

Dr. Robert Marroquin Acosta, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1530 Bessie Ave, Tracy, CA 95376
Phone: 209-834-1443    
Dr. Shital C. Hubli, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1470 Bessie Ave, Tracy, CA 95376
Phone: 209-833-0525    Fax: 209-830-7361
Mahesh K Sehgal, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 W Eaton Ave, Tracy, CA 95376
Phone: 209-832-8560    Fax: 209-832-3119
Dr. Sumitra Ramireddy, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 730 N Central Ave, Tracy, CA 95376
Phone: 209-820-1500    
Dr. Ian Thomas Pulliam, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 644 W 12th St, Tracy, CA 95376
Phone: 209-832-8984    Fax: 209-832-8988
Ross Thomas Caulfield, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 445 W Eaton Ave, Tracy, CA 95376
Phone: 209-832-0535    

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.