Dr Krishna Patel, MD - Medicare Pediatric Medicine in Clinton, NJ

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Dr Krishna Patel, MD is a medicare enrolled "Pediatrics" physician in Clinton, New Jersey. She graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice State Of New Jersey Omb Centralized Payroll and her current practice location is 40 Pittstown Road, Hunterdon Developmental Center, Clinton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 735-4031.

Dr Krishna Patel is licensed to practice in New Jersey (license number 25MA04200300) 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 1235166489.

Contact Information

Dr Krishna Patel, MD
40 Pittstown Road, Hunterdon Developmental Center,
Clinton, NJ 08809-4008
(908) 735-4031
(908) 730-1340

Map and Direction




Physician's Profile

Full NameDr Krishna Patel
GenderFemale
SpecialityPediatric Medicine
Experience46 Years
Location40 Pittstown Road, Clinton, New Jersey
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:
  • Dr Krishna Patel graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1235166489
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 01/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365587268
  • Enrollment ID: I20100303000556

Medical Identifiers

Medical identifiers for Dr Krishna Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235166489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA04200300 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of New Jersey Omb Centralized Payroll640674259290

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 Krishna Patel allows following entities to bill medicare on her behalf.
Entity NameState Of New Jersey Omb Centralized Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811931504
PECOS PAC ID: 6406742592
Enrollment ID: O20050104000058
Entity NameState Of New Jersey Omb Centralized Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225077290
PECOS PAC ID: 6406742592
Enrollment ID: O20080421000332

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 Krishna 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 Krishna Patel, MD
40 Pittstown Road, State Of New Jersey /hunterdon Developmental Center,
Clinton, NJ 08809-0000

Ph: (908) 735-4031		Dr Krishna Patel, MD
40 Pittstown Road, Hunterdon Developmental Center,
Clinton, NJ 08809-4008

Ph: (908) 735-4031

Reviews and Comments


Pediatrics Doctors in Clinton, NJ

Daniel Alejandrino Delara, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809
Phone: 908-735-4031    Fax: 908-730-1340
Cecilia Cruz Celestino, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809
Phone: 908-730-5702    Fax: 908-730-1340
Ana Marie Angeles Castillo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809
Phone: 908-730-5701    Fax: 908-730-1340

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.