Dr Nisha Panicker Aravindakshan Patel, MD, MPH is a medicare enrolled "Hospitalist" physician in Lagrange, Georgia. Her current practice location is
1514 Vernon Rd, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 812-2369.
Dr Nisha Panicker Aravindakshan Patel is licensed to practice in Georgia (license number 75597) 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 1942527478.
Physician's Profile
| Full Name | Dr Nisha Panicker Aravindakshan Patel |
|---|
| Gender | Female |
|---|
| Speciality | |
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| Experience | Years |
|---|
| Location | 1514 Vernon Rd, Lagrange, Georgia |
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| Accepts Medicare Assignments | Yes. 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 Nisha Panicker Aravindakshan Patel attended and graduated from in
NPI Data:
- NPI Number: 1942527478
- Provider Enumeration Date: 04/23/2010
- Last Update Date: 11/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nisha Panicker Aravindakshan Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942527478 | NPI | - | NPPES |
| GA2058 | Medicaid | SC | |
| 202I210707 | Medicaid | GA | |
| 2361368 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 207172 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 67339-20 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 75597 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | ME132196 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 207172 (Louisiana) | Secondary |
| 208000000X | Pediatrics | 67339-20 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 207172 (Louisiana) | Secondary |
| 208000000X | Pediatrics | ME132196 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 75597 (Georgia) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME132196 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 67339-20 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 75597 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 75597 (Georgia) | Primary |
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 Nisha Panicker Aravindakshan 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 Address | Practice Location Address |
|---|
Dr Nisha Panicker Aravindakshan Patel, MD, MPH
543 Winton Ter Ne Unit A,
Atlanta, GA 30308-2826
Ph: (151) 642-4079 | Dr Nisha Panicker Aravindakshan Patel, MD, MPH
1514 Vernon Rd,
Lagrange, GA 30240-4131
Ph: (706) 812-2369 |
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