Prayag Naineshkumar Patel, MD - Medicare Family Practice in Macomb, IL

Prayag Naineshkumar Patel, MD is a medicare enrolled "Family Medicine" physician in Macomb, Illinois. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mcdonough County Hospital District and his current practice location is 525 E Grant St, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 833-4101.

Prayag Naineshkumar Patel is licensed to practice in Illinois (license number 336100624) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295175487.

Contact Information

Prayag Naineshkumar Patel, MD
525 E Grant St,
Macomb, IL 61455-3313
(309) 833-4101
Not Available

Map and Direction




Physician's Profile

Full NamePrayag Naineshkumar Patel
GenderMale
SpecialityFamily Practice
Experience11 Years
Location525 E Grant St, Macomb, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prayag Naineshkumar Patel graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1295175487
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 06/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5294025243
  • Enrollment ID: I20160908003004

Medical Identifiers

Medical identifiers for Prayag Naineshkumar Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295175487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 336100624 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mc Donough District HospitalMacomb, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcdonough County Hospital District044614018038

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. Prayag Naineshkumar Patel allows following entities to bill medicare on his behalf.
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669420766
PECOS PAC ID: 0446140180
Enrollment ID: O20040611000228
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609180082
PECOS PAC ID: 0446140180
Enrollment ID: O20090407000082

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. Prayag Naineshkumar Patel 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
Prayag Naineshkumar Patel, MD
525 E Grant St,
Macomb, IL 61455-3313

Ph: (309) 833-4101
Prayag Naineshkumar Patel, MD
525 E Grant St,
Macomb, IL 61455-3313

Ph: (309) 833-4101

Reviews and Comments


Family Medicine Doctors in Macomb, IL

Julie Anne Shepherd, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 E Grant St Ste 110, Macomb, IL 61455
Phone: 309-833-1733    
Mr. Christopher Damian Stortzum, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 E Grant St, Suite 110, Macomb, IL 61455
Phone: 309-833-1733    Fax: 309-836-2369
Dr. Weili Zhang, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 515 E Grant St, Suite 213, Macomb, IL 61455
Phone: 309-833-4101    Fax: 309-836-1547
Mr. Jack Lee Mcpherson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 E Grant St, Macomb, IL 61455
Phone: 309-833-1733    Fax: 309-833-2369
Dennis Ray Samuelson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 W Adams St, Macomb, IL 61455
Phone: 309-836-8751    
Dr. Xiaolu (sherry) Li, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 909 E Grant St, Macomb, IL 61455
Phone: 309-837-2000    Fax: 309-837-2272

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.