Dr Pradeep D Marballi, MD - Medicare Psychiatry & Neurology in Amsterdam, NY

Dr Pradeep D Marballi, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Amsterdam, New York. His current practice location is 8 Northampton, St Marys Hospital Childrens Mental Health Clinic, Amsterdam, New York. You can reach out to his office (for appointments etc.) via phone at (518) 843-7520.

Dr Pradeep D Marballi is licensed to practice in New York (license number 178739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760557797.

Contact Information

Dr Pradeep D Marballi, MD
8 Northampton, St Marys Hospital Childrens Mental Health Clinic,
Amsterdam, NY 12010
(518) 843-7520
(518) 843-7537

Map and Direction




Physician's Profile

Full NameDr Pradeep D Marballi
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location8 Northampton, Amsterdam, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760557797
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193898617
  • Enrollment ID: I20160726001878

Medical Identifiers

Medical identifiers for Dr Pradeep D Marballi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760557797NPI-NPPES
02605356MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 178739 (New York)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 Pradeep D Marballi allows following entities to bill medicare on his behalf.
Entity NameBehavioral Health Management Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417052713
PECOS PAC ID: 1456262450
Enrollment ID: O20040115000480
Entity NameWinter Haven Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477599975
PECOS PAC ID: 4789578972
Enrollment ID: O20040210000095
Entity NameBaycare Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225312549
PECOS PAC ID: 4688649122
Enrollment ID: O20040830000131
Entity NameBaycare Behavioral Health Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245502152
PECOS PAC ID: 2567624836
Enrollment ID: O20120502000477

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 Pradeep D Marballi 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 Pradeep D Marballi, MD
427 Guy Park Avenue, St Marys Hospital Behavioral Health,
Amsterdam, NY 12010

Ph: (518) 843-7520
Dr Pradeep D Marballi, MD
8 Northampton, St Marys Hospital Childrens Mental Health Clinic,
Amsterdam, NY 12010

Ph: (518) 843-7520

Reviews and Comments


Psychiatry & Neurology Doctors in Amsterdam, NY

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Dr. Jacqueline Villacorta Pasco, MD
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Phone: 518-883-6339    Fax: 518-883-5691
Oommen P Ninan, MD
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Practice Location: 2415 Riverfront Center, Amsterdam, NY 12010
Phone: 518-842-0500    Fax: 518-842-6971

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.