Dr Pankti Tamboli, DO is a medicare enrolled "Family Medicine" physician in Deptford, New Jersey. Her current practice location is
1450 Almonesson Rd Ste 225, Deptford, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 227-8611.
Dr Pankti Tamboli is licensed to practice in New Jersey (license number 25MB12082300) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528646254.
Physician's Profile
Full Name | Dr Pankti Tamboli |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1450 Almonesson Rd Ste 225, Deptford, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528646254
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527404904
- Enrollment ID: I20240307001850
Medical Identifiers
Medical identifiers for Dr Pankti Tamboli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528646254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 25MB12082300 (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 Pankti Tamboli allows following entities to bill medicare on her behalf.
Entity Name | Inspira Health Network Urgent Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255613329 PECOS PAC ID: 2769657659 Enrollment ID: O20111205000169 |
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Entity Name | Inspira Sj Urgent Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619320991 PECOS PAC ID: 0749566958 Enrollment ID: O20170424000682 |
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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 Pankti Tamboli 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 Pankti Tamboli, DO 134 Bridgeton Pike Ste C, Mullica Hill, NJ 08062-2616 Ph: (856) 507-2783 | Dr Pankti Tamboli, DO 1450 Almonesson Rd Ste 225, Deptford, NJ 08096-5241 Ph: (856) 227-8611 |
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