Dr Praveen Duggal, MD - Medicare Otolaryngology in Severna Park, MD

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Dr Praveen Duggal, MD is a medicare enrolled "Otolaryngology" physician in Severna Park, Maryland. He went to George Washington University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Centers For Advanced Ent Care Llc, Greater Baltimore Medical Center Inc and his current practice location is 479 Jumpers Hole Rd, Suite 304, Severna Park, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 544-9988.

Dr Praveen Duggal is licensed to practice in Georgia (license number 67887) 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 1437335973.

Contact Information

Dr Praveen Duggal, MD
479 Jumpers Hole Rd, Suite 304,
Severna Park, MD 21146-1600
(410) 544-9988
(410) 544-9994

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Physician's Profile

Full NameDr Praveen Duggal
GenderMale
SpecialityOtolaryngology
Experience17 Years
Location479 Jumpers Hole Rd, Severna Park, Maryland
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 Praveen Duggal attended and graduated from George Washington University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1437335973
  • Provider Enumeration Date: 01/15/2008
  • Last Update Date: 10/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6800051236
  • Enrollment ID: I20150702001568

Medical Identifiers

Medical identifiers for Dr Praveen Duggal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437335973NPI-NPPES
D79215OtherMDMARYLAND LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 67887 (Georgia)Primary
174400000XSpecialist D79215 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Greater Baltimore Medical CenterBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centers For Advanced Ent Care Llc1658647359131
Greater Baltimore Medical Center Inc1759276975307

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 Praveen Duggal allows following entities to bill medicare on his behalf.
Entity NameGreater Baltimore Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891855763
PECOS PAC ID: 1759276975
Enrollment ID: O20040217000852
Entity NameCenters For Advanced Ent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447781620
PECOS PAC ID: 1658647359
Enrollment ID: O20171025001018

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 Praveen Duggal 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 Praveen Duggal, MD
275 Fairtree Plz,
Severna Park, MD 21146-3113

Ph: (410) 544-9988		Dr Praveen Duggal, MD
479 Jumpers Hole Rd, Suite 304,
Severna Park, MD 21146-1600

Ph: (410) 544-9988

Reviews and Comments


Otolaryngology Doctors in Severna Park, MD


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).

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