Dr Vijay Neelamegam Premnath, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Tioga, North Dakota. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healthpartners Medical Group and his current practice location is
810 N Welo St, Tioga, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 664-3305.
Dr Vijay Neelamegam Premnath is licensed to practice in North Dakota (license number 11852) 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 1285834614.
Physician's Profile
| Full Name | Dr Vijay Neelamegam Premnath |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | 810 N Welo St, Tioga, North Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vijay Neelamegam Premnath graduated from medical school in 2004
NPI Data:
- NPI Number: 1285834614
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 04/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648443283
- Enrollment ID: I20150717000698
Medical Identifiers
Medical identifiers for Dr Vijay Neelamegam Premnath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285834614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | 11852 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthpartners Medical Group | 1759293954 | 1429 |
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 Vijay Neelamegam Premnath allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264 |
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| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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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 Vijay Neelamegam Premnath 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 Address | Practice Location Address |
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Dr Vijay Neelamegam Premnath, MD
810 N Welo St,
Tioga, ND 58852
Ph: (701) 664-3305 | Dr Vijay Neelamegam Premnath, MD
810 N Welo St,
Tioga, ND 58852
Ph: (701) 664-3305 |
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