Priyanka Vakati, MD - Medicare Pediatrics in Newark, DE

Priyanka Vakati, MD is a medicare enrolled "Pediatrics" physician in Newark, Delaware. Her current practice location is 4755 Ogletown Stanton Rd Dept Of, Newark, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 733-4200.

Priyanka Vakati is licensed to practice in Delaware (license number C1-0012104) 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 1124433024.

Contact Information

Priyanka Vakati, MD
4755 Ogletown Stanton Rd Dept Of,
Newark, DE 19718-2200
(302) 733-4200
(718) 613-8677

Map and Direction




Physician's Profile

Full NamePriyanka Vakati
GenderFemale
SpecialityPediatrics
Location4755 Ogletown Stanton Rd Dept Of, Newark, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124433024
  • Provider Enumeration Date: 06/30/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082982863
  • Enrollment ID: I20231113000907

Medical Identifiers

Medical identifiers for Priyanka Vakati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124433024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics C1-0012104 (Delaware)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. Priyanka Vakati allows following entities to bill medicare on her behalf.
Entity NameTpirc Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225611312
PECOS PAC ID: 4486036068
Enrollment ID: O20220728002225

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. Priyanka Vakati 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
Priyanka Vakati, MD
200 Hygeia Dr Ste 2300,
Newark, DE 19713-2049

Ph: (718) 270-2078
Priyanka Vakati, MD
4755 Ogletown Stanton Rd Dept Of,
Newark, DE 19718-2200

Ph: (302) 733-4200

Reviews and Comments


Pediatrics Doctors in Newark, DE

Dr. Tracey A. Henderson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4755 Ogletown-stanton Road, Map 1, Suite 116, Newark, DE 19718
Phone: 302-733-4200    Fax: 302-733-2711
Dr. Anna Kolano, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Nemours Pediatrics Peoples Plaza, 1400 Peoples Plaza Suite 300, Newark, DE 19702
Phone: 302-836-7820    Fax: 302-836-7826
Dr. Ann Marie Masciantonio, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd, M.a.p. #2, Suite 1116, Newark, DE 19713
Phone: 302-368-8653    Fax: 302-368-8836
Angelica Christine Gangemi-hanninen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713
Phone: 302-623-0200    
Robert G Locke, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4745 Ogletown Stanton Rd, Suite 217 Medical Arts Pavilion One, Newark, DE 19713
Phone: 302-733-2374    Fax: 302-733-2602
Anna P. Nadhan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4735 Ogletown Stanton Rd Ste 1116, Newark, DE 19713
Phone: 302-368-8612    Fax: 302-368-4384
Lauren Margaret Edgar, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 875 Aaa Blvd, Newark, DE 19713
Phone: 302-918-6400    

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).

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