Dr Priya Gyani, MD - Medicare Pediatrics in Georgetown, DE

Dr Priya Gyani, MD is a medicare enrolled "Pediatrics" physician in Georgetown, Delaware. Her current practice location is 22512 Springfield Ln, Georgetown, Delaware. You can reach out to her office (for appointments etc.) via phone at (703) 946-7986.

Dr Priya Gyani is licensed to practice in Virginia (license number 0101270911) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285954842.

Contact Information

Dr Priya Gyani, MD
22512 Springfield Ln,
Georgetown, DE 19947-6429
(703) 946-7986
Not Available

Map and Direction




Physician's Profile

Full NameDr Priya Gyani
GenderFemale
SpecialityPediatrics
Location22512 Springfield Ln, Georgetown, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285954842
  • Provider Enumeration Date: 06/07/2010
  • Last Update Date: 06/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224266812
  • Enrollment ID: I20141021000808

Medical Identifiers

Medical identifiers for Dr Priya Gyani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285954842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine TN51766 (Tennessee)Secondary
208000000XPediatrics MT197119 (Pennsylvania)Secondary
208000000XPediatrics 0101270911 (Virginia)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. Dr Priya Gyani allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997

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. Dr Priya Gyani 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
Dr Priya Gyani, MD
22512 Springfield Ln,
Georgetown, DE 19947-6429

Ph: (703) 946-7986
Dr Priya Gyani, MD
22512 Springfield Ln,
Georgetown, DE 19947-6429

Ph: (703) 946-7986

Reviews and Comments


Pediatrics Doctors in Georgetown, DE

Kishore Kumar Gaddam, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 21141 Sterling Ave Unit 1, Georgetown, DE 19947
Phone: 302-856-6967    Fax: 302-855-0744
Dr. Pankaj Sanwal, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21141 Sterling Ave, Suite 1, Georgetown, DE 19947
Phone: 302-856-3969    Fax: 302-856-3140
Dr. Vibha Sanwal, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21141 Sterling Ave Unit 1, Georgetown, DE 19947
Phone: 302-856-6967    Fax: 302-855-0744

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.