Dr Pankaj J Patel, MD - Medicare Gastroenterology in Sebring, FL

Dr Pankaj J Patel, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Sebring, Florida. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Thakkar Patel And Avalos Md's Llc and his current practice location is 3581 S Highlands Ave, Sebring, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 385-5129.

Dr Pankaj J Patel is licensed to practice in Florida (license number ME87907) 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 1053374256.

Contact Information

Dr Pankaj J Patel, MD
3581 S Highlands Ave,
Sebring, FL 33870-5410
(863) 385-5129
(863) 385-7162

Map and Direction




Physician's Profile

Full NameDr Pankaj J Patel
GenderMale
SpecialityGastroenterology
Experience28 Years
Location3581 S Highlands Ave, Sebring, Florida
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 Pankaj J Patel graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1053374256
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 02/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5193745511
  • Enrollment ID: I20051201000142

Medical Identifiers

Medical identifiers for Dr Pankaj J Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053374256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology ME87907 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth SebringSebring, FLHospital
Highlands Regional Medical CenterSebring, FLHospital
Adventhealth WauchulaWauchula, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thakkar Patel And Avalos Md's Llc529475561716

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 Pankaj J Patel allows following entities to bill medicare on his behalf.
Entity NameThakkar Patel & Avalos Md's Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972565612
PECOS PAC ID: 5294755617
Enrollment ID: O20051130000740

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 Pankaj J 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 Pankaj J Patel, MD
3581 S Highlands Ave,
Sebring, FL 33870-5410

Ph: (863) 385-5129
Dr Pankaj J Patel, MD
3581 S Highlands Ave,
Sebring, FL 33870-5410

Ph: (863) 385-5129

Reviews and Comments


Internal Medicine Doctors in Sebring, FL

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Dr. Shailesh Joshi, MD
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Dr. Nazia Sultana, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4325 Sun N Lake Blvd Ste 102, Sebring, FL 33872
Phone: 863-382-1663    Fax: 863-386-0162

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.