Dr Roshan Mainali, MD - Medicare Nephrology in Lewistown, PA

Dr Roshan Mainali, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lewistown, Pennsylvania. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Geisinger Clinic and his current practice location is 21 Geisinger Ln, Lewistown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 242-4200.

Dr Roshan Mainali is licensed to practice in Pennsylvania (license number MD429481) 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 1700990629.

Contact Information

Dr Roshan Mainali, MD
21 Geisinger Ln,
Lewistown, PA 17044-3400
(717) 242-4200
(717) 242-4212

Map and Direction




Physician's Profile

Full NameDr Roshan Mainali
GenderMale
SpecialityNephrology
Experience24 Years
Location21 Geisinger Ln, Lewistown, Pennsylvania
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 Roshan Mainali graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1700990629
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9537168067
  • Enrollment ID: I20061212000123

Medical Identifiers

Medical identifiers for Dr Roshan Mainali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700990629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine PAMD429481 (Pennsylvania)Secondary
207RN0300XInternal Medicine - Nephrology MD429481 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fresenius Medical Care State CollegeState college, PADialysis facility
Lock Haven Dialysis ClinicLock haven, PADialysis facility
Mount Nittany Medical CenterState college, PAHospital
Geisinger Medical CenterDanville, PAHospital
Geisinger-lewistown HospitalLewistown, PAHospital
Geisinger Jersey Shore HospitalJersey shore, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012841

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 Roshan Mainali allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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 Roshan Mainali 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 Roshan Mainali, MD
100 N Academy Ave,
Danville, PA 17822-3034

Ph: (570) 271-6144
Dr Roshan Mainali, MD
21 Geisinger Ln,
Lewistown, PA 17044-3400

Ph: (717) 242-4200

Reviews and Comments


Internal Medicine Doctors in Lewistown, PA

Dr. Jawed Akhtar, M.D
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Dr. Ireneusz Szulawski, M.D.
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Nazir A Memon, MD
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Dr. Benjamin Alexander Silverman, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 400 Highland Ave, Lewistown, PA 17044
Phone: 717-242-7480    Fax: 717-242-7479

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.