Dr Sapana Mainali, MD - Medicare Internal Medicine in State College, PA

Dr Sapana Mainali, MD is a medicare enrolled "Internal Medicine" physician in State College, Pennsylvania. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Geisinger Clinic and her current practice location is 200 Scenery Dr, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 231-4560.

Dr Sapana Mainali is licensed to practice in Pennsylvania (license number MD429734) 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 1235243726.

Contact Information

Dr Sapana Mainali, MD
200 Scenery Dr,
State College, PA 16801-7974
(814) 231-4560
(814) 231-6246

Map and Direction




Physician's Profile

Full NameDr Sapana Mainali
GenderFemale
SpecialityInternal Medicine
Experience24 Years
Location200 Scenery Dr, State College, Pennsylvania
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 Sapana Mainali graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1235243726
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567461098
  • Enrollment ID: I20061212000106

Medical Identifiers

Medical identifiers for Dr Sapana Mainali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235243726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD429734 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Medical CenterDanville, PAHospital
Mount Nittany Medical CenterState college, PAHospital
Geisinger-lewistown HospitalLewistown, 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 Sapana Mainali allows following entities to bill medicare on her 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 Sapana 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 Sapana Mainali, MD
100 N Academy Ave,
Danville, PA 17822-3034

Ph: (570) 271-6144
Dr Sapana Mainali, MD
200 Scenery Dr,
State College, PA 16801-7974

Ph: (814) 231-4560

Reviews and Comments


Internal Medicine Doctors in State College, PA

Paul Andrew Koberna, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2134 Sandy Dr Ste 16, State College, PA 16803
Phone: 814-272-5805    Fax: 814-272-0110
Peter F. Pepe, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1850 E Park Ave, Suite 201, State College, PA 16803
Phone: 814-234-8800    
Keriann Nickola Gray, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Scenery Dr., State College, PA 16801
Phone: 814-231-4560    Fax: 814-231-6246
Dr. Manisha N. Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Scenery Dr, State College, PA 16801
Phone: 814-231-4560    Fax: 814-231-6246
Dr. Joel B Haight, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 32 Colonnade Way, State College, PA 16803
Phone: 814-272-4445    Fax: 814-272-4450
Jeffrey W. Pro, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 E Park Ave, Suite 302, State College, PA 16803
Phone: 814-278-4680    Fax: 814-235-1523
Dr. Scott A. Sulman, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Scenery Dr, State College, PA 16801
Phone: 814-231-4560    Fax: 814-235-5512

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.