Prajeena Mainali, DO - Medicare Internal Medicine in Fall River, MA

Prajeena Mainali, DO is a medicare enrolled "Family Medicine" physician in Fall River, Massachusetts. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Prima Care Pc and her current practice location is 203 Plymouth Ave Ste 701, Fall River, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (502) 235-5445.

Prajeena Mainali is licensed to practice in Massachusetts (license number 277316) 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 1053705160.

Contact Information

Prajeena Mainali, DO
203 Plymouth Ave Ste 701,
Fall River, MA 02721-4300
(502) 235-5445
(508) 235-5594

Map and Direction




Physician's Profile

Full NamePrajeena Mainali
GenderFemale
SpecialityInternal Medicine
Experience9 Years
Location203 Plymouth Ave Ste 701, Fall River, Massachusetts
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:
  • Prajeena Mainali graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1053705160
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 10/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7618259607
  • Enrollment ID: I20181116001021

Medical Identifiers

Medical identifiers for Prajeena Mainali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053705160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 277316 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeFall river, MAHome health agency
Southcoast Visiting Nurse Association IncFairhaven, MAHome health agency
Saint Anne's HospitalFall river, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prima Care Pc2567356017186

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. Prajeena Mainali allows following entities to bill medicare on her behalf.
Entity NamePrima Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265422596
PECOS PAC ID: 2567356017
Enrollment ID: O20040214000027

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. Prajeena 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
Prajeena Mainali, DO
9 Turner Ct,
Rehoboth, MA 02769-2128

Ph: (703) 795-6334
Prajeena Mainali, DO
203 Plymouth Ave Ste 701,
Fall River, MA 02721-4300

Ph: (502) 235-5445

Reviews and Comments


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Phone: 508-675-1054    Fax: 508-324-7777

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.