Pradeep Prasad Dhital, MD - Medicare Pathology in Valley Stream, NY

Pradeep Prasad Dhital, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Valley Stream, New York. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Pathology. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 900 Franklin Avenue, Valley Stream, New York. You can reach out to his office (for appointments etc.) via phone at (516) 256-6164.

Pradeep Prasad Dhital is licensed to practice in Michigan (license number 4301046537) 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 1861431777.

Contact Information

Pradeep Prasad Dhital, MD
900 Franklin Avenue,
Valley Stream, NY 11580-4164
(516) 256-6164
Not Available

Map and Direction




Physician's Profile

Full NamePradeep Prasad Dhital
GenderMale
SpecialityPathology
Experience52 Years
Location900 Franklin Avenue, Valley Stream, New York
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:
  • Pradeep Prasad Dhital graduated from medical school in 1972
  NPI Data:
  • NPI Number: 1861431777
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 01/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1052396827
  • Enrollment ID: I20120112000662

Medical Identifiers

Medical identifiers for Pradeep Prasad Dhital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861431777NPI-NPPES
4586833MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 4301046537 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Jewish Medical CenterNew hyde park, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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. Pradeep Prasad Dhital allows following entities to bill medicare on his behalf.
Entity NameNassau Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902822992
PECOS PAC ID: 2961315221
Enrollment ID: O20040619000043
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Pradeep Prasad Dhital 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
Pradeep Prasad Dhital, MD
900 Franklin Ave,
Valley Stream, NY 11580-2145

Ph: (516) 256-6164
Pradeep Prasad Dhital, MD
900 Franklin Avenue,
Valley Stream, NY 11580-4164

Ph: (516) 256-6164

Reviews and Comments


Pathology Doctors in Valley Stream, NY

Dr. Rubina Cocker, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 900 Franklin Ave, Valley Stream, NY 11580
Phone: 516-256-6159    Fax: 516-256-6162
Dwayne Breining, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 900 Franklin Ave, Valley Stream, NY 11580
Phone: 800-376-5566    
Vandana Jhaveri, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 900 Franklin Ave, Valley Stream, NY 11580
Phone: 800-376-5566    
Dr. Saroj Khaneja, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 96 Captains Rd, Valley Stream, NY 11581
Phone: 516-677-4062    

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.