Bharati Kalgi, MD - Medicare Pediatrics in Macungie, PA

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Bharati Kalgi, MD is a medicare enrolled "Pediatrics" physician in Macungie, Pennsylvania. Her current practice location is 3371 Route 100, Macungie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 336-8277.

Bharati Kalgi is licensed to practice in Pennsylvania (license number MD475653) 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 1255869772.

Contact Information

Bharati Kalgi, MD
3371 Route 100,
Macungie, PA 18062-9613
(610) 336-8277
Not Available

Map and Direction




Physician's Profile

Full NameBharati Kalgi
GenderFemale
SpecialityPediatrics
Location3371 Route 100, Macungie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255869772
  • Provider Enumeration Date: 05/29/2017
  • Last Update Date: 11/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294079158
  • Enrollment ID: I20211208002861

Medical Identifiers

Medical identifiers for Bharati Kalgi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255869772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 311695 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program P05936 (New York)Secondary
208000000XPediatrics MD475653 (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. Bharati Kalgi allows following entities to bill medicare on her behalf.
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameMmc Pediatrics Faculty Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285648154
PECOS PAC ID: 0143406918
Enrollment ID: O20110511000496

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. Bharati Kalgi 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
Bharati Kalgi, MD
1401 Newkirk Ave,
Brooklyn, NY 11226-6521

Ph: (718) 283-1600		Bharati Kalgi, MD
3371 Route 100,
Macungie, PA 18062-9613

Ph: (610) 336-8277

Reviews and Comments


Pediatrics Doctors in Macungie, PA


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.