Pratibha Avinash Kulkarni, MD - Medicare Internal Medicine in Millburn, NJ

Pratibha Avinash Kulkarni, MD is a medicare enrolled "Internal Medicine" physician in Millburn, New Jersey. She graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Optum Medical Care Of New Jersey Pc and her current practice location is 116 Millburn Ave, Suite # 108, Millburn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 564-5227.

Pratibha Avinash Kulkarni is licensed to practice in New Jersey (license number MA 41977) 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 1306867478.

Contact Information

Pratibha Avinash Kulkarni, MD
116 Millburn Ave, Suite # 108,
Millburn, NJ 07041-1943
(973) 564-5227
Not Available

Map and Direction




Physician's Profile

Full NamePratibha Avinash Kulkarni
GenderFemale
SpecialityInternal Medicine
Experience48 Years
Location116 Millburn Ave, Millburn, 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:
  • Pratibha Avinash Kulkarni graduated from medical school in 1976
  NPI Data:
  • NPI Number: 1306867478
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385735463
  • Enrollment ID: I20070803000020

Medical Identifiers

Medical identifiers for Pratibha Avinash Kulkarni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306867478NPI-NPPES
1883402MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MA 41977 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Medical Care Of New Jersey Pc3072650290225

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. Pratibha Avinash Kulkarni allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129

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. Pratibha Avinash Kulkarni 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
Pratibha Avinash Kulkarni, MD
297 Walnut St,
Livingston, NJ 07039-5009

Ph: (973) 564-5227
Pratibha Avinash Kulkarni, MD
116 Millburn Ave, Suite # 108,
Millburn, NJ 07041-1943

Ph: (973) 564-5227

Reviews and Comments


Internal Medicine Doctors in Millburn, NJ

Dr. Errol Meisner, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 425 Essex St, Millburn, NJ 07041
Phone: 973-467-0866    Fax: 973-467-5485
Manuel Jacobo Mendez Jr., M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 235 Millburn Ave Ste 101, Millburn, NJ 07041
Phone: 973-376-8034    
Rajendra Desai, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 116 Millburn Ave, Suite 213, Millburn, NJ 07041
Phone: 973-376-8454    Fax: 973-376-7808
Dr. Danielle Louisa Jardine, M.B,B.S.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Millburn Ave Ste 204, Millburn, NJ 07041
Phone: 973-467-9282    
Dr. Yatinder Bains, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 116 Millburn Ave, Suite # 214, Millburn, NJ 07041
Phone: 973-376-2121    Fax: 973-467-0150
Dr. Richard Evan Freundlich, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 Millburn Ave, Suite 209, Millburn, NJ 07041
Phone: 973-218-9330    Fax: 973-218-9351

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.