Dr Pravin I Patel, MD - Medicare Internal Medicine in Fairmont, WV

Dr Pravin I Patel, MD is a medicare enrolled "Internal Medicine" physician in Fairmont, West Virginia. His current practice location is 1322 Locust Ave, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 366-0700.

Dr Pravin I Patel is licensed to practice in West Virginia (license number 10239) 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 1861424285.

Contact Information

Dr Pravin I Patel, MD
1322 Locust Ave,
Fairmont, WV 26554
(304) 366-0700
(304) 366-9529

Map and Direction




Physician's Profile

Full NameDr Pravin I Patel
GenderMale
SpecialityInternal Medicine
Location1322 Locust Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861424285
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 08/11/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951336825
  • Enrollment ID: I20050929000076

Medical Identifiers

Medical identifiers for Dr Pravin I Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861424285NPI-NPPES
110087720OtherWVRR MEDICARE
505819OtherWVNATIONAL CAPITAL PPO
000058954OtherWVMT STATE BC/BS
0082810000MedicaidWV
0004420446OtherWVAETNA
FQ10239OtherWVHEALTH PLAN
0573008OtherWVHOME PLAN PEIA AND CHIPS
E19547OtherWVWV WORKER'S COMP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 10239 (West Virginia)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 Pravin I Patel allows following entities to bill medicare on his behalf.
Entity NameMonongahela Valley Association Of Health Center, Inc.
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1770697278
PECOS PAC ID: 6800991977
Enrollment ID: O20080220000201

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 Pravin I 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 Pravin I Patel, MD
1322 Locust Ave, Po Box 1112,
Fairmont, WV 26554

Ph: (304) 366-0700
Dr Pravin I Patel, MD
1322 Locust Ave,
Fairmont, WV 26554

Ph: (304) 366-0700

Reviews and Comments


Internal Medicine Doctors in Fairmont, WV

Dr. Mohammad Roidad, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1614 Locust Ave, Fairmont, WV 26554
Phone: 304-363-6659    Fax: 304-366-3464
Eugenio Aldea Menez, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1714 Locust Ave, Fairmont, WV 26554
Phone: 304-363-3714    Fax: 304-363-6850
Bonnie Diep, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1377 Locust Ave, Fairmont, WV 26554
Phone: 304-363-3500    
Spencer Ollayos,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 045-347-8103    
Dr. Ryan Christopher Hall, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    Fax: 304-366-9529
Samer Kuzbari, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 Middletown Rd Ste 1000, Fairmont, WV 26554
Phone: 304-333-5111    Fax: 304-333-5114
Dr. Cory Andrew Smith, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 Village Dr, Fairmont, WV 26554
Phone: 304-366-2600    Fax: 304-366-2080

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.