Prathibha Potharlanka, MD - Medicare Internal Medicine in Willingboro, NJ

Prathibha Potharlanka, MD is a medicare enrolled "Hospitalist" physician in Willingboro, New Jersey. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sai Inpatient Resources, Llc and her current practice location is 218 Sunset Rd, Willingboro, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 835-2900.

Prathibha Potharlanka is licensed to practice in New Jersey (license number 25MA07690100) 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 1295761690.

Contact Information

Prathibha Potharlanka, MD
218 Sunset Rd,
Willingboro, NJ 08046-1110
(609) 835-2900
(856) 566-2797

Map and Direction




Physician's Profile

Full NamePrathibha Potharlanka
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location218 Sunset Rd, Willingboro, New Jersey
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:
  • Prathibha Potharlanka graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1295761690
  • Provider Enumeration Date: 06/25/2006
  • Last Update Date: 09/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4587633862
  • Enrollment ID: I20041004000017

Medical Identifiers

Medical identifiers for Prathibha Potharlanka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295761690NPI-NPPES
0078875MedicaidNJ
0033120MedicaidNJ
7221574OtherNJAETNA PPO
P00603546-MERCEROtherNJRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA07690100 (New Jersey)Secondary
208M00000XHospitalist 25MA07690100 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sai Inpatient Resources, Llc266849271125

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. Prathibha Potharlanka allows following entities to bill medicare on her behalf.
Entity NameCooper Physician Offices Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154369510
PECOS PAC ID: 2860396611
Enrollment ID: O20031122000067
Entity NameSai Inpatient Resources, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336267004
PECOS PAC ID: 2668492711
Enrollment ID: O20051205000033
Entity NamePulmonary And Internal Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205923620
PECOS PAC ID: 7113185398
Enrollment ID: O20120220000226
Entity NamePremier Medicine And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346591351
PECOS PAC ID: 7719124734
Enrollment ID: O20130513000080
Entity NamePrimary Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275982084
PECOS PAC ID: 7911338231
Enrollment ID: O20200610000493
Entity NamePrimary Health Nj
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114515079
PECOS PAC ID: 5193130615
Enrollment ID: O20210216000981
Entity NameVcare Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801563366
PECOS PAC ID: 6406231216
Enrollment ID: O20220915000215
Entity NameVcare Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275200800
PECOS PAC ID: 0941677660
Enrollment ID: O20221109000024

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. Prathibha Potharlanka 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
Prathibha Potharlanka, MD
30 Belmont Cir,
Columbus, NJ 08022-9714

Ph: (609) 789-0800
Prathibha Potharlanka, MD
218 Sunset Rd,
Willingboro, NJ 08046-1110

Ph: (609) 835-2900

Reviews and Comments


Hospitalist Doctors in Willingboro, NJ

Dr. Zaheer Husain, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 218 Sunset Rd Fl 5, Willingboro, NJ 08046
Phone: 609-444-0359    
Leah Asman, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 218 Sunset Rd Fl 5, Willingboro, NJ 08046
Phone: 609-835-3672    Fax: 609-835-5433

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.