Dr Prabhat Pokhrel, MD - Medicare Family Practice in Burton, MI

Dr Prabhat Pokhrel, MD is a medicare enrolled "Family Medicine" physician in Burton, Michigan. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mclaren Flint and his current practice location is 1460 N Center Rd, Burton, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 715-4300.

Dr Prabhat Pokhrel is licensed to practice in Michigan (license number 4301080535) 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 1871531848.

Contact Information

Dr Prabhat Pokhrel, MD
1460 N Center Rd,
Burton, MI 48509-1429
(810) 715-4300
Not Available

Map and Direction




Physician's Profile

Full NameDr Prabhat Pokhrel
GenderMale
SpecialityFamily Practice
Experience38 Years
Location1460 N Center Rd, Burton, Michigan
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 Prabhat Pokhrel graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1871531848
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 06/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3173626306
  • Enrollment ID: I20070308000518

Medical Identifiers

Medical identifiers for Dr Prabhat Pokhrel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871531848NPI-NPPES
PP080535OtherMIBCBS
4464602MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301080535 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren FlintFlint, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mclaren Flint8628975497142

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 Prabhat Pokhrel allows following entities to bill medicare on his behalf.
Entity NameAscension Genesys Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528283033
PECOS PAC ID: 2062323033
Enrollment ID: O20031208000842
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107
Entity NameGenesys Ambulatory Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740596444
PECOS PAC ID: 5294769717
Enrollment ID: O20050923000844
Entity NameMclaren Flint
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275807372
PECOS PAC ID: 8628975497
Enrollment ID: O20120620000454

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 Prabhat Pokhrel 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 Prabhat Pokhrel, MD
1460 N Center Rd,
Burton, MI 48509-1429

Ph: (810) 715-4300
Dr Prabhat Pokhrel, MD
1460 N Center Rd,
Burton, MI 48509-1429

Ph: (810) 715-4300

Reviews and Comments


Family Medicine Doctors in Burton, MI

Dr. Daniel Steven Edwin Rode, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Bineh-karan Singh Kalra, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Alex Suchorab, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Dr. Nastaran Biriji, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Dr. Clarissa Kroese, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Dr. Naofiumi Takemoto, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1460 N Center Rd, Burton, MI 48509
Phone: 810-715-4300    
Dr. James Lum, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1096 S Belsay Rd, Suite D, Burton, MI 48509
Phone: 810-743-3880    Fax: 810-743-3886

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.