Dr Mrinal Agrawal, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Fairview, New Jersey. His current practice location is
143 Anderson Ave, Fairview, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 402-7802.
Dr Mrinal Agrawal is licensed to practice in New Jersey (license number 25MA11985800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699267377.
Physician's Profile
| Full Name | Dr Mrinal Agrawal |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology - Pain Medicine |
|---|
| Location | 143 Anderson Ave, Fairview, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699267377
- Provider Enumeration Date: 05/30/2018
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426408261
- Enrollment ID: I20231220001785
Medical Identifiers
Medical identifiers for Dr Mrinal Agrawal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699267377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 25MA11985800 (New Jersey) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 25MA11985800 (New Jersey) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 25MA11985800 (New Jersey) | 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. Dr Mrinal Agrawal allows following entities to bill medicare on his behalf.
| Entity Name | Premier Brain And Spine Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922771377
PECOS PAC ID: 6608264833
Enrollment ID: O20211021000001 |
|---|
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 Mrinal Agrawal 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 |
|---|
Dr Mrinal Agrawal, MD
90 Matawan Rd Ste 302,
Matawan, NJ 07747-2653
Ph: (732) 441-7177 | Dr Mrinal Agrawal, MD
143 Anderson Ave,
Fairview, NJ 07022-2001
Ph: (201) 402-7802 |
Reviews and Comments