Dr Prathiba Vermani-sethi, MD - Medicare Emergency Medicine in Hamilton, NJ

Dr Prathiba Vermani-sethi, MD is a medicare enrolled "Family Medicine" physician in Hamilton, New Jersey. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Capital Health Multispecialty Group and her current practice location is 813 Grand Central Drive, Hamilton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (720) 239-3724.

Dr Prathiba Vermani-sethi is licensed to practice in New Jersey (license number 193400000X) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942636626.

Contact Information

Dr Prathiba Vermani-sethi, MD
813 Grand Central Drive,
Hamilton, NJ 08619
(720) 239-3724
Not Available

Map and Direction




Physician's Profile

Full NameDr Prathiba Vermani-sethi
GenderFemale
SpecialityEmergency Medicine
Experience14 Years
Location813 Grand Central Drive, Hamilton, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prathiba Vermani-sethi graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1942636626
  • Provider Enumeration Date: 09/25/2013
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143448431
  • Enrollment ID: I20151118000224

Medical Identifiers

Medical identifiers for Dr Prathiba Vermani-sethi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942636626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MA09769600 (New Jersey)Secondary
207Q00000XFamily Medicine 193400000X (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Health Multispecialty Group1850689894247

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 Prathiba Vermani-sethi allows following entities to bill medicare on her behalf.
Entity NameMiddlesex Emergency Physicians, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811921760
PECOS PAC ID: 9931002854
Enrollment ID: O20040129000034
Entity NameEmergency Physician Associates Of South Jersey P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215965231
PECOS PAC ID: 5294648457
Enrollment ID: O20040824001263
Entity NameChambers Emergency Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053589614
PECOS PAC ID: 2860578242
Enrollment ID: O20080326000126
Entity NameCapital Health Multispecialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083072342
PECOS PAC ID: 1850689894
Enrollment ID: O20161007000162

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 Prathiba Vermani-sethi 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 Prathiba Vermani-sethi, MD
1 Capital Way,
Pennington, NJ 08534-2520

Ph: (609) 303-4010
Dr Prathiba Vermani-sethi, MD
813 Grand Central Drive,
Hamilton, NJ 08619

Ph: (720) 239-3724

Reviews and Comments


Family Medicine Doctors in Hamilton, NJ

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Dr. Joseph Mullane, M.D.
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Phone: 609-584-0117    Fax: 609-586-5103

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.