Dr Pravin R Patel, MD is a
Family Medicine physician based in Clio, South Carolina. Dr Pravin R Patel is licensed to practice in South Carolina (license number 11313) and his current practice location is 200 Main St, Clio, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 586-2292.
NPI number for Dr Pravin R Patel is 1215973532 and his current mailing address is Po Box 417, Clio, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215973532.
Physician's Profile
| Full Name | Dr Pravin R Patel |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 200 Main St, Clio, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215973532
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 07/09/2009
Medical Identifiers
Medical identifiers for Dr Pravin R Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215973532 | NPI | - | NPPES |
| 8906247 | Medicaid | NC | |
| RHC120 | Medicaid | SC | |
| 428949C | Medicaid | NC | |
| 428949A | Medicaid | NC | |
| 11313-9 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11313 (South Carolina) | Primary |
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 R Patel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pravin R Patel, MD
Po Box 417,
Clio, SC 29525
Ph: (843) 586-2292 | Dr Pravin R Patel, MD
200 Main St,
Clio, SC 29525
Ph: (843) 586-2292 |
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