Ketan Hirapara, MD - Medicare Psychiatry in Edison, NJ

Ketan Hirapara, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Edison, New Jersey. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Premier Brain And Spine Llc and his current practice location is 10 Parsonage Rd Ste 208, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 906-9600.

Ketan Hirapara is licensed to practice in New Jersey (license number 25MA10736900) 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 1346602562.

Contact Information

Ketan Hirapara, MD
10 Parsonage Rd Ste 208,
Edison, NJ 08837-2429
(732) 906-9600
(732) 377-0393

Map and Direction




Physician's Profile

Full NameKetan Hirapara
GenderMale
SpecialityPsychiatry
Experience14 Years
Location10 Parsonage Rd Ste 208, Edison, New Jersey
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:
  • Ketan Hirapara graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1346602562
  • Provider Enumeration Date: 03/26/2016
  • Last Update Date: 06/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587072269
  • Enrollment ID: I20210419000594

Medical Identifiers

Medical identifiers for Ketan Hirapara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346602562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0000XPain Medicine - Pain Medicine 25MA10736900 (New Jersey)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 25MA10736900 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MA10736900 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Brain And Spine Llc660826483370

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. Ketan Hirapara allows following entities to bill medicare on his behalf.
Entity NameFreeman Pain Institute Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689770539
PECOS PAC ID: 9032200134
Enrollment ID: O20070803000187
Entity NamePremier Brain And Spine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922771377
PECOS PAC ID: 6608264833
Enrollment ID: O20211021000001
Entity NameEoh Acquisition Group, Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1760851893
PECOS PAC ID: 4082009717
Enrollment ID: O20220331000358

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. Ketan Hirapara 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
Ketan Hirapara, MD
90 Matawan Rd Ste 302,
Matawan, NJ 07747-2653

Ph: (732) 441-7177
Ketan Hirapara, MD
10 Parsonage Rd Ste 208,
Edison, NJ 08837-2429

Ph: (732) 906-9600

Reviews and Comments


Psychiatry & Neurology Doctors in Edison, NJ

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Dr. Emad Roshdy Noor,
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Phillip D. Kramer, MD
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Dr. Wei Wei Ma, MD
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Sudhansu Chokroverty, MD
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Niveditha Meghadri, M.D.
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Practice Location: 295 Pierson Ave, Edison, NJ 08837
Phone: 732-494-8558    

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).

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