Dr Hitesh K Patel, MD - Medicare Ophthalmology in Edison, NJ

Dr Hitesh K Patel, MD is a medicare enrolled "Ophthalmology" physician in Edison, New Jersey. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1993 and has 31 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Patel Eye Associates Llc and his current practice location is 228 Plainfield Ave, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 985-5009.

Dr Hitesh K Patel is licensed to practice in New Jersey (license number 25MAO6539000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215959622.

Contact Information

Dr Hitesh K Patel, MD
228 Plainfield Ave,
Edison, NJ 08817-3738
(732) 985-5009
(732) 985-5155

Map and Direction




Physician's Profile

Full NameDr Hitesh K Patel
GenderMale
SpecialityOphthalmology
Experience31 Years
Location228 Plainfield Ave, Edison, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hitesh K Patel attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1993
  NPI Data:
  • NPI Number: 1215959622
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 08/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577460948
  • Enrollment ID: I20040107000300

Medical Identifiers

Medical identifiers for Dr Hitesh K Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215959622NPI-NPPES
0010570MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 25MAO6539000 (New Jersey)Primary
207W00000XOphthalmology MD064657L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Patel Eye Associates Llc85271502183

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 Hitesh K Patel allows following entities to bill medicare on his behalf.
Entity NamePatel Eye Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831305267
PECOS PAC ID: 8527150218
Enrollment ID: O20070827000283

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 Hitesh K Patel 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 Hitesh K Patel, MD
2021 Trowbridge Dr,
Newtown, PA 18940-9438

Ph: (215) 860-0875
Dr Hitesh K Patel, MD
228 Plainfield Ave,
Edison, NJ 08817-3738

Ph: (732) 985-5009

Reviews and Comments


Ophthalmology Doctors in Edison, NJ

Dr. Barry Mark Schanzer, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1812 Oak Tree Rd, Edison, NJ 08820
Phone: 732-548-0700    Fax: 732-494-5059
Dr. Barbara H Schwartz, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2177 Oak Tree Rd Ste 203, Edison, NJ 08820
Phone: 908-822-0070    Fax: 908-822-0075
Dr. Himanshu S Shah, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 228 Plainfield Ave, Edison, NJ 08817
Phone: 732-985-5009    Fax: 732-985-5155
Dr. John C Park, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2177 Oak Tree Rd, #203, Edison, NJ 08820
Phone: 908-822-0070    
Mrs. Julia Sullivan Miller, MD PH D
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 1150 Amboy Ave, Edison, NJ 08837
Phone: 732-548-3200    Fax: 732-548-1919
Dr. Benjamin David Spirn, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1656 Oak Tree Rd, Suite 3, Edison, NJ 08820
Phone: 732-549-8080    Fax: 732-549-0528

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.