Pratik D Mehta, MD is a medicare enrolled "Surgery" physician in Aliso Viejo, California. His current practice location is
120 Mayfair, Aliso Viejo, California. You can reach out to his office (for appointments etc.) via phone at
(949) 357-7142.
Pratik D Mehta is licensed to practice in California (license number A139446) 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 1063853919.
Physician's Profile
Full Name | Pratik D Mehta |
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Gender | Male |
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Speciality | Surgery |
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Location | 120 Mayfair, Aliso Viejo, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063853919
- Provider Enumeration Date: 07/08/2013
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012252497
- Enrollment ID: I20200923003112
Medical Identifiers
Medical identifiers for Pratik D Mehta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063853919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A139446 (California) | 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. Pratik D Mehta allows following entities to bill medicare on his behalf.
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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Entity Name | Riverside Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
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Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
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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. Pratik D Mehta 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 |
Pratik D Mehta, MD 120 Mayfair, Aliso Viejo, CA 92656-2832 Ph: (949) 357-7142 | Pratik D Mehta, MD 120 Mayfair, Aliso Viejo, CA 92656-2832 Ph: (949) 357-7142 |
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