Prabin Dhakal, MD - Medicare Hospitalist in Springfield, MO

Prabin Dhakal, MD is a medicare enrolled "Hospitalist" physician in Springfield, Missouri. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-2600.

Prabin Dhakal is licensed to practice in Missouri (license number 2012017153) 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 1780998062.

Contact Information

Prabin Dhakal, MD
1235 E Cherokee St,
Springfield, MO 65804-2203
(417) 820-2600
Not Available

Map and Direction




Physician's Profile

Full NamePrabin Dhakal
GenderMale
SpecialityHospitalist
Experience20 Years
Location1235 E Cherokee St, Springfield, Missouri
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:
  • Prabin Dhakal graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1780998062
  • Provider Enumeration Date: 07/29/2010
  • Last Update Date: 05/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6204082928
  • Enrollment ID: I20120813000739

Medical Identifiers

Medical identifiers for Prabin Dhakal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780998062NPI-NPPES
431560263OtherMOTRICARE
193712001MedicaidAR
1780998062MedicaidMO
P01085140OtherMOMCR RR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2012017153 (Missouri)Secondary
208M00000XHospitalist 2012017153 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845933

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. Prabin Dhakal allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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. Prabin Dhakal 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
Prabin Dhakal, MD
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-2600
Prabin Dhakal, MD
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-2600

Reviews and Comments


Hospitalist Doctors in Springfield, MO

Abhaya Khatiwada, MD
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Tapasya Raavi, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Amulya Yadlapalli, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Dr. Melinda Ann Crockett-maples, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Dr. Andrew L. Evans, MD
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    Fax: 417-820-2100
Jean Ye-qiong Guan,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    
Dr. Kiran Babu Bandaru, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    

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.