Avani Dalal, in Philadelphia, PA - Medicare Family Medicine

Avani Dalal, is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. Her current practice location is 5501 Old York Rd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 456-7890.

Avani Dalal is licensed to practice in Pennsylvania (license number MD476262) 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 1417510983.

Contact Information

	Avani Dalal,
	5501 Old York Rd, Philadelphia, PA 19141-3098
	(215) 456-7890
	Not Available

Map and Direction

Physician's Profile

Full Name	Avani Dalal
Gender	Female
Speciality	Family Medicine
Location	5501 Old York Rd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417510983
Provider Enumeration Date: 04/19/2019
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0648686550
Enrollment ID: I20221207002949

Medical Identifiers

Medical identifiers for Avani Dalal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417510983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A178810 (California)	Secondary
207Q00000X	Family Medicine	MT217491 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	MD476262 (Pennsylvania)	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. Avani Dalal allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Avani Dalal 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 Address	Practice Location Address
Avani Dalal, 5501 Old York Rd, Philadelphia, PA 19141-3098 Ph: () -	Avani Dalal, 5501 Old York Rd, Philadelphia, PA 19141-3098 Ph: (215) 456-7890

Reviews and Comments

Family Medicine Doctors in Philadelphia, PA

Srikar Vegesna, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 Cottman Ave, Philadelphia, PA 19149 Phone: 215-342-3020 Fax: 215-342-3653
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Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830
Dr. Seung Hee Hong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134 Phone: 215-926-3535 Fax: 215-926-3536

Avani Dalal, - Medicare Family Medicine in Philadelphia, PA