Prachi Nilesh Pathak, O D - Medicare Optometrist in Dover, DE

Prachi Nilesh Pathak, O D is a medicare enrolled "Optometrist" provider in Dover, Delaware. She went to New England College Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Physicians And Surgeons, Pa and her current practice location is 885 S Governors Ave, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 734-5861.

Prachi Nilesh Pathak is licensed to practice in Delaware (license number I3-0001350) 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 1952605743.

Contact Information

Prachi Nilesh Pathak, O D
885 S Governors Ave,
Dover, DE 19904-4158
(302) 734-5861
(302) 734-1921

Map and Direction




Healthcare Provider's Profile

Full NamePrachi Nilesh Pathak
GenderFemale
SpecialityOptometry
Experience14 Years
Location885 S Governors Ave, Dover, Delaware
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:
  • Prachi Nilesh Pathak attended and graduated from New England College Of Optometry in 2010
  NPI Data:
  • NPI Number: 1952605743
  • Provider Enumeration Date: 01/07/2011
  • Last Update Date: 06/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7113105198
  • Enrollment ID: I20110621000728

Medical Identifiers

Medical identifiers for Prachi Nilesh Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952605743NPI-NPPES
G00016OtherDEHALPERN EYE ASSO GROUP MEDICARE
12186947OtherCAQH
1346430360OtherDEHALPERN OPTHAMOLOGY ASSO GROUP NPI
803261H16OtherMEDICARE PTAN HEA
803261H47OtherMEDICARE PTAN HALPERN MEDICAL SERVICES
G01047OtherDEHALPERN OPTHAMOLOGY ASSO GROUP MEDICARE ID
I3-0001350OtherDEDE-PERMANENT LICENSE EFF 02072011
1245251313OtherDEHALPERN EYE ASSOCIATES GROUP NPI
1952605743OtherINDIVIUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist I3-0001350 (Delaware)Primary
152W00000XOptometrist I4-0000054 (Delaware)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Physicians And Surgeons, Pa498178092111

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. Prachi Nilesh Pathak allows following entities to bill medicare on her behalf.
Provider NameEye Physicians & Surgeons, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972695435
PECOS PAC ID: 4981780921
Enrollment ID: O20080331000443

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. Prachi Nilesh Pathak 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
Prachi Nilesh Pathak, O D
885 S Governors Ave,
Dover, DE 19904-4158

Ph: (302) 734-5861
Prachi Nilesh Pathak, O D
885 S Governors Ave,
Dover, DE 19904-4158

Ph: (302) 734-5861

Reviews and Comments


Optometrist in Dover, DE

Dr. Michele Renee Haranin, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 820 Walker Road, Dover, DE 19904
Phone: 302-678-3545    Fax: 302-734-3115
L A Optics Ii
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1065 N Dupont Hwy, North Dover Center, Dover, DE 19901
Phone: 302-734-8181    Fax: 302-734-8803
Halpern Eye Care
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 885 S Governors Ave, Dover, DE 19904
Phone: 302-734-5861    Fax: 302-734-1921
Tiffany Trinh Nguyen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 200 Banning St Ste 130, Dover, DE 19904
Phone: 302-678-1700    Fax: 302-678-2330
Priti V Patel, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 885 S Governors Ave, Dover, DE 19904
Phone: 302-734-5861    Fax: 302-734-1921
Dr. Patricia Lynn Sparks, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 885 S Governors Ave, Dover, DE 19904
Phone: 302-734-5861    Fax: 302-734-1921
Dr. Tanya Malhotra, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 200 Banning St Ste 130, Dover, DE 19904
Phone: 302-678-1700    Fax: 302-678-2330

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.