Dr Paul Pritchett Sr, MD - Medicare Family Practice in La Plata, MD

Dr Paul Pritchett Sr, MD is a medicare enrolled "Internal Medicine" physician in La Plata, Maryland. He went to Howard University College Of Medicine and graduated in 1970 and has 54 years of diverse experience with area of expertise as Family Practice. His current practice location is 118 Lagrange Ave, La Plata, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 934-3626.

Dr Paul Pritchett Sr is licensed to practice in Maryland (license number D0008370) 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 1275535981.

Contact Information

Dr Paul Pritchett Sr, MD
118 Lagrange Ave,
La Plata, MD 20646-9591
(301) 934-3626
Not Available

Map and Direction




Physician's Profile

Full NameDr Paul Pritchett Sr
GenderMale
SpecialityFamily Practice
Experience54 Years
Location118 Lagrange Ave, La Plata, Maryland
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 Paul Pritchett Sr attended and graduated from Howard University College Of Medicine in 1970
  NPI Data:
  • NPI Number: 1275535981
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133137698
  • Enrollment ID: I20101109000665

Medical Identifiers

Medical identifiers for Dr Paul Pritchett Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275535981NPI-NPPES
66710001OtherDCBC/BS OF DC
0100344OtherMDUNITED HEALTHCARE
34732501OtherMDBC BS OF MD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D0008370 (Maryland)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 Paul Pritchett Sr allows following entities to bill medicare on his behalf.
Entity NamePaul E Pritchett Sr Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275843468
PECOS PAC ID: 8426289646
Enrollment ID: O20140401000062

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 Paul Pritchett Sr 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 Paul Pritchett Sr, MD
118 Lagrange Ave, Po Box 1317,
La Plata, MD 20646-9591

Ph: (301) 934-3626
Dr Paul Pritchett Sr, MD
118 Lagrange Ave,
La Plata, MD 20646-9591

Ph: (301) 934-3626

Reviews and Comments


Internal Medicine Doctors in La Plata, MD

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Naureen Khan,
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Dr. Mark Dumais, M.D.
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Practice Location: 500 Charles St, La Plata, MD 20646
Phone: 301-609-4857    Fax: 301-609-4105

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.