Pratibha Phuyal, MD - Medicare Internal Medicine in Easton, MD

Pratibha Phuyal, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Easton, Maryland. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Shore-bayy Hospitalists Associates and her current practice location is 219 S Washington St, Easton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 822-1000.

Pratibha Phuyal is licensed to practice in Maryland (license number D89256) 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 1114470994.

Contact Information

Pratibha Phuyal, MD
219 S Washington St,
Easton, MD 21601-2913
(410) 822-1000
Not Available

Map and Direction




Physician's Profile

Full NamePratibha Phuyal
GenderFemale
SpecialityInternal Medicine
Experience10 Years
Location219 S Washington St, Easton, Maryland
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 Phuyal graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1114470994
  • Provider Enumeration Date: 07/28/2016
  • Last Update Date: 10/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456773092
  • Enrollment ID: I20200626001738

Medical Identifiers

Medical identifiers for Pratibha Phuyal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114470994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine D89256 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umd Shore Medical Center At EastonEaston, MDHospital
University Of Md Shore Medical Ctr At ChestertownChestertown, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shore-bayy Hospitalists Associates337583539036

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 Phuyal allows following entities to bill medicare on her behalf.
Entity NameShore-bayy Hospitalists Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548618671
PECOS PAC ID: 3375835390
Enrollment ID: O20160713000038

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 Phuyal 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 Phuyal, MD
Po Box 2700,
Easton, MD 21601-8952

Ph: (410) 822-1000
Pratibha Phuyal, MD
219 S Washington St,
Easton, MD 21601-2913

Ph: (410) 822-1000

Reviews and Comments


Internal Medicine Doctors in Easton, MD

Anish M. Hinduja, M.D.
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Phone: 410-820-9823    Fax: 866-606-6428
Dr. Roshan Bisural,
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Phone: 410-822-1000    
Dr. Michael Patrick Moran, MD
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Phone: 410-221-1185    Fax: 410-221-1187
Dr. Carolyn R Helmly, M.D.
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Practice Location: 508 Idlewild Ave, Easton, MD 21601
Phone: 410-822-9133    Fax: 410-822-9513
Elizabeth Smelter Clayton, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 505 Dutchmans Ln, Suite A2, Easton, MD 21601
Phone: 410-819-6545    Fax: 410-819-6750
Robert Bruce Helmly, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 500 Cadmus Ln Ste 207, Easton, MD 21601
Phone: 410-822-5571    Fax: 410-822-3859

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.