Dr Pragneshkumar Patel, MD - Medicare Internal Medicine in Flushing, NY

Dr Pragneshkumar Patel, MD is a medicare enrolled "Internal Medicine" physician in Flushing, New York. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Medicine Services Of Tn Llc and his current practice location is 4500 Parsons Blvd, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 670-5000.

Dr Pragneshkumar Patel is licensed to practice in Tennessee (license number 64966) 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 1073075842.

Contact Information

Dr Pragneshkumar Patel, MD
4500 Parsons Blvd,
Flushing, NY 11355-2205
(718) 670-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Pragneshkumar Patel
GenderMale
SpecialityInternal Medicine
Experience8 Years
Location4500 Parsons Blvd, Flushing, New York
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 Pragneshkumar Patel graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1073075842
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 07/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507248242
  • Enrollment ID: I20220728000375

Medical Identifiers

Medical identifiers for Dr Pragneshkumar Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073075842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 64966 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Summit Medical CenterHermitage, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Tn Llc2365807633232

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 Pragneshkumar Patel allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameUltra Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20160607002194
Entity NameHospital Medicine Services Of Tn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982301065
PECOS PAC ID: 2365807633
Enrollment ID: O20230421000177
Entity NameCookeville Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467133371
PECOS PAC ID: 1254794282
Enrollment ID: O20230824000235

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 Pragneshkumar Patel 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 Pragneshkumar Patel, MD
2904 Carisbrooke Dr,
Mt Juliet, TN 37122-2440

Ph: (929) 232-5471
Dr Pragneshkumar Patel, MD
4500 Parsons Blvd,
Flushing, NY 11355-2205

Ph: (718) 670-5000

Reviews and Comments


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Phone: 718-670-1405    

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.