Pramod Pilania, MD - Medicare Psychiatry in Philadelphia, PA

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Pramod Pilania, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Philadelphia, Pennsylvania. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Hope Behavioral Health Llc and his current practice location is 2927 N 5th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 291-4957.

Pramod Pilania is licensed to practice in Pennsylvania (license number MD427506) 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 1699817353.

Contact Information

Pramod Pilania, MD
2927 N 5th St,
Philadelphia, PA 19133-2800
(215) 291-4957
(484) 221-9130

Map and Direction




Physician's Profile

Full NamePramod Pilania
GenderMale
SpecialityPsychiatry
Experience27 Years
Location2927 N 5th St, Philadelphia, Pennsylvania
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:
  • Pramod Pilania graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1699817353
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466460969
  • Enrollment ID: I20060324000315

Medical Identifiers

Medical identifiers for Pramod Pilania such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699817353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD427506 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hope Behavioral Health Llc16587364752

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. Pramod Pilania allows following entities to bill medicare on his behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NameNew Directions Treatment Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790829505
PECOS PAC ID: 1456344308
Enrollment ID: O20040406001032
Entity NameLancaster Behavioral Health Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063929115
PECOS PAC ID: 9234492059
Enrollment ID: O20180725003500
Entity NameReading Behavioral Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750997466
PECOS PAC ID: 8527495183
Enrollment ID: O20201209001899
Entity NameHope Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194433888
PECOS PAC ID: 1658736475
Enrollment ID: O20230501002549

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. Pramod Pilania 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
Pramod Pilania, MD
932 Penn Avenue, 1st Floor,
Wyomissing, PA 19610-3017

Ph: (484) 513-3793		Pramod Pilania, MD
2927 N 5th St,
Philadelphia, PA 19133-2800

Ph: (215) 291-4957

Reviews and Comments


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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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