Prateek Dhar Wali, MD in Syracuse, NY

Prateek Dhar Wali, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Syracuse, New York. His current practice location is 725 Irving Ave, Crouse Pob Ste 805, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-8444.

Prateek Dhar Wali is licensed to practice in New York (license number 257394) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972775286.

Contact Information

	Prateek Dhar Wali, MD
	725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603
	(315) 464-8444
	(315) 464-8445

Map and Direction

Physician's Profile

Full Name	Prateek Dhar Wali
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	725 Irving Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972775286
Provider Enumeration Date: 03/26/2008
Last Update Date: 09/14/2012

Medicare PECOS Information:

PECOS PAC ID: 9234254814
Enrollment ID: I20100920000721

Medical Identifiers

Medical identifiers for Prateek Dhar Wali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972775286	NPI	-	NPPES
03241623	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	257394 (New York)	Primary

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. Prateek Dhar Wali allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483

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. Prateek Dhar Wali 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
Prateek Dhar Wali, MD 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 Ph: (315) 464-8444	Prateek Dhar Wali, MD 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 Ph: (315) 464-8444

Reviews and Comments

Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030

Prateek Dhar Wali, MD - Medicare Pediatrics in Syracuse, NY