Claudia Antonieta Nieves Prado, MD - Medicare Hospitalist in Lansdale, PA

Claudia Antonieta Nieves Prado, MD is a medicare enrolled "Hospitalist" physician in Lansdale, Pennsylvania. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Main Line Healthcare and her current practice location is 100 Medical Campus Dr, Lansdale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 361-4854.

Claudia Antonieta Nieves Prado is licensed to practice in Pennsylvania (license number MD458704) 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 1851733539.

Contact Information

Claudia Antonieta Nieves Prado, MD
100 Medical Campus Dr,
Lansdale, PA 19446-1259
(215) 361-4854
(215) 361-4933

Map and Direction




Physician's Profile

Full NameClaudia Antonieta Nieves Prado
GenderFemale
SpecialityHospitalist
Experience17 Years
Location100 Medical Campus Dr, Lansdale, Pennsylvania
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:
  • Claudia Antonieta Nieves Prado graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1851733539
  • Provider Enumeration Date: 07/23/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991083727
  • Enrollment ID: I20161031000996

Medical Identifiers

Medical identifiers for Claudia Antonieta Nieves Prado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851733539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD458704 (Pennsylvania)Secondary
208M00000XHospitalist MD458704 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Main Line Health Homecare & Hospice - HospiceRadnor, PAHospice
Bryn Mawr HospitalBryn mawr, PAHospital
Main Line Hospital LankenauWynnewood, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201907

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. Claudia Antonieta Nieves Prado allows following entities to bill medicare on her behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. Claudia Antonieta Nieves Prado 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
Claudia Antonieta Nieves Prado, MD
100 Medical Campus Dr,
Lansdale, PA 19446-1259

Ph: (215) 361-4854
Claudia Antonieta Nieves Prado, MD
100 Medical Campus Dr,
Lansdale, PA 19446-1259

Ph: (215) 361-4854

Reviews and Comments


Hospitalist Doctors in Lansdale, PA

Marcos D Sanchez Jr., M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Medical Campus Dr, Lansdale, PA 19446
Phone: 215-361-4854    Fax: 215-361-4933
Henish Kishorbhai Raiyani, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Medical Campus Dr, Lansdale, PA 19446
Phone: 215-361-4854    Fax: 215-361-4933

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.