Priya Patel, MD - Medicare Family Practice in Lehighton, PA

Priya Patel, MD is a medicare enrolled "Family Medicine" physician in Lehighton, Pennsylvania. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Grand View Hospital and her current practice location is 770 State Rd, Lehighton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 426-2050.

Priya Patel is licensed to practice in Pennsylvania (license number MD472988) 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 1811426398.

Contact Information

Priya Patel, MD
770 State Rd,
Lehighton, PA 18235-2857
(610) 426-2050
(833) 204-9597

Map and Direction




Physician's Profile

Full NamePriya Patel
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location770 State Rd, Lehighton, Pennsylvania
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:
  • Priya Patel graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1811426398
  • Provider Enumeration Date: 06/08/2017
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113297037
  • Enrollment ID: I20210309002680

Medical Identifiers

Medical identifiers for Priya Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811426398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD472988 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand View HospitalSellersville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand View Hospital8022001924142

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. Priya Patel allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGrand View Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1609447184
PECOS PAC ID: 8022001924
Enrollment ID: O20210903000009

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 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
Priya Patel, MD
801 Ostrum St,
Bethlehem, PA 18015-1000

Ph: () -
Priya Patel, MD
770 State Rd,
Lehighton, PA 18235-2857

Ph: (610) 426-2050

Reviews and Comments


Family Medicine Doctors in Lehighton, PA

Dimitry Belogorodsky, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2226 Blakeslee Boulevard Dr E, Lehighton, PA 18235
Phone: 610-297-3003    
Dr. Peter J Baddick Iii, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2175 Blakeslee Boulevard Dr W, Lehighton, PA 18235
Phone: 570-386-4171    Fax: 570-386-2429
Daniel George Walker, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2175 Blakeslee Boulevard Dr W, Lehighton, PA 18235
Phone: 570-386-4171    
David Thomas Ogurek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 363 N 1st St, Lehighton, PA 18235
Phone: 484-464-9510    
Kenneth R Sharp, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 363 N 1st St, Lehighton, PA 18235
Phone: 484-464-9510    Fax: 484-464-9515
Ismat Ahmad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 St Lukes Dr, Lehighton, PA 18235
Phone: 484-526-4500    
Dennis James Kondash, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 211 N 12th St, Lehighton, PA 18235
Phone: 610-377-7174    Fax: 610-377-4785

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.