Prajesh Mani Ghimire, MD in Saratoga Springs, NY

Prajesh Mani Ghimire, MD is a medicare enrolled "Family Medicine" physician in Saratoga Springs, New York. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Albany Medical College and his current practice location is 2 Tommy Luther Dr, Saratoga Springs, New York. You can reach out to his office (for appointments etc.) via phone at (518) 581-0892.

Prajesh Mani Ghimire is licensed to practice in North Carolina (license number 2011-01067) 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 1821300401.

Contact Information

	Prajesh Mani Ghimire, MD
	2 Tommy Luther Dr, Saratoga Springs, NY 12866-6054
	(518) 581-0892
	Not Available

Map and Direction

Physician's Profile

Full Name	Prajesh Mani Ghimire
Gender	Male
Speciality	Family Practice
Experience	16 Years
Location	2 Tommy Luther Dr, Saratoga Springs, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Prajesh Mani Ghimire graduated from medical school in 2008

NPI Data:

NPI Number: 1821300401
Provider Enumeration Date: 07/12/2010
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5193987949
Enrollment ID: I20120503000072

Medical Identifiers

Medical identifiers for Prajesh Mani Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821300401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2011-01067 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Albany Medical Center Hospital	Albany, NY	Hospital
Saratoga Hospital	Saratoga springs, NY	Hospital
Columbia Memorial Hospital	Hudson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Albany Medical College	1759293111	915

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. Prajesh Mani Ghimire allows following entities to bill medicare on his behalf.

Entity Name	Ellis Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621

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. Prajesh Mani Ghimire 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
Prajesh Mani Ghimire, MD 113 Deanna Ct, Niskayuna, NY 12309-1333 Ph: (518) 330-2843	Prajesh Mani Ghimire, MD 2 Tommy Luther Dr, Saratoga Springs, NY 12866-6054 Ph: (518) 581-0892

Reviews and Comments

Family Medicine Doctors in Saratoga Springs, NY

Dr. Jama Lorynn Peacock Birsett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 68 West Ave Ste 3, Saratoga Springs, NY 12866 Phone: 518-450-9180 Fax: 518-886-1690
Dr. Bert W Pyle Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Church St, Saratoga Springs, NY 12866 Phone: 518-587-1141
Eric C. Borden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3044 Route 50, Saratoga Springs, NY 12866 Phone: 518-886-5800 Fax: 518-886-5805
Robert Nielson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3044 Route 50, Saratoga Springs, NY 12866 Phone: 518-886-5800
Paul Joseph Okosky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3044 Route 50, Saratoga Springs, NY 12866 Phone: 518-886-5800 Fax: 518-886-5805
Susan Muller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 Lawrence St, Saratoga Springs, NY 12866 Phone: 518-584-7361 Fax: 518-584-7930
Dr. Stephen Offord, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Church St, Saratoga Springs, NY 12866 Phone: 518-587-1141

Prajesh Mani Ghimire, MD - Medicare Family Practice in Saratoga Springs, NY