Priya P Patel, PA-C is a medicare enrolled "Physician Assistant" physician in Glendale, California. Her current practice location is
1505 Wilson Ter Ste 240, Glendale, California. You can reach out to her office (for appointments etc.) via phone at
(310) 205-3555.
Priya P Patel is licensed to practice in California (license number PA55343) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730467143.
Physician's Profile
| Full Name | Priya P Patel |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1505 Wilson Ter Ste 240, Glendale, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730467143
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931459278
- Enrollment ID: I20180906001728
Medical Identifiers
Medical identifiers for Priya P Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730467143 | NPI | - | NPPES |
| 004345000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | PA9105796 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA55343 (California) | Primary |
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. Priya P 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 Address | Practice Location Address |
|---|
Priya P Patel, PA-C
1112 Montana Ave Ste 912,
Santa Monica, CA 90403-1652
Ph: (310) 205-3555 | Priya P Patel, PA-C
1505 Wilson Ter Ste 240,
Glendale, CA 91206-4033
Ph: (310) 205-3555 |
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