Dr Phalgun Prativadi, MD - Medicare Infectious Disease in Monroeville, PA

Dr Phalgun Prativadi, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Monroeville, Pennsylvania. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Premier Medical Associates Pc and his current practice location is 3824 Northern Pike Ste 405, Monroeville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 372-8750.

Dr Phalgun Prativadi is licensed to practice in Pennsylvania (license number MD448148) 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 1598920985.

Contact Information

Dr Phalgun Prativadi, MD
3824 Northern Pike Ste 405,
Monroeville, PA 15146-2121
(412) 372-8750
(412) 372-8751

Map and Direction




Physician's Profile

Full NameDr Phalgun Prativadi
GenderMale
SpecialityInfectious Disease
Experience17 Years
Location3824 Northern Pike Ste 405, Monroeville, Pennsylvania
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 Phalgun Prativadi graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1598920985
  • Provider Enumeration Date: 07/24/2008
  • Last Update Date: 11/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5890938864
  • Enrollment ID: I20130823000968

Medical Identifiers

Medical identifiers for Dr Phalgun Prativadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598920985NPI-NPPES
2897144OtherPAHIGHMARK
1028222820001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease MD448148 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forbes HospitalMonroeville, PAHospital
Allegheny Valley HospitalNatrona, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Medical Associates Pc983000323586

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 Phalgun Prativadi allows following entities to bill medicare on his behalf.
Entity NamePremier Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281092
PECOS PAC ID: 9830003235
Enrollment ID: O20031119000222

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 Phalgun Prativadi 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 Phalgun Prativadi, MD
3824 Northern Pike, Ste 700,
Monroeville, PA 15146-2141

Ph: (412) 457-0060
Dr Phalgun Prativadi, MD
3824 Northern Pike Ste 405,
Monroeville, PA 15146-2121

Ph: (412) 372-8750

Reviews and Comments


Internal Medicine Doctors in Monroeville, PA

Salman K. Bhatti, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 400 Oxford Dr Ste 75, Monroeville, PA 15146
Phone: 412-380-5030    Fax: 412-380-5011
Vishal N Patel,
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Practice Location: 2775 Mosside Blvd, Monroeville, PA 15146
Phone: 412-354-7844    
Boriana Kamenova,
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Phone: 412-374-1441    
Dr. Paul C Kleist, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3824 Northern Pike, Ste 525, Monroeville, PA 15146
Phone: 412-380-2750    Fax: 412-380-2883
Jennifer Stasko,
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 400 Oxford Dr, Suite 202, Monroeville, PA 15146
Phone: 412-380-5040    
Dr. Namratha Vemulapalli, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Haymaker Rd, Forbes Regional Campus, Monroeville, PA 15146
Phone: 412-858-7618    Fax: 412-858-7628
Sangeeta Lakshmi Komerally, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Haymaker Rd, Monroeville, PA 15146
Phone: 412-858-7618    Fax: 412-858-7628

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.