Santosh Kumar Nepal, MD - Medicare Pulmonary Disease in Mechanicsburg, PA

Santosh Kumar Nepal, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Mechanicsburg, Pennsylvania. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Pinnacle Health Medical Services and his current practice location is 2005 Technology Pkwy Ste 300, Mechanicsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 988-5864.

Santosh Kumar Nepal is licensed to practice in Pennsylvania (license number MD460947) 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 1740584879.

Contact Information

Santosh Kumar Nepal, MD
2005 Technology Pkwy Ste 300,
Mechanicsburg, PA 17050-9423
(717) 988-5864
Not Available

Map and Direction




Physician's Profile

Full NameSantosh Kumar Nepal
GenderMale
SpecialityPulmonary Disease
Experience22 Years
Location2005 Technology Pkwy Ste 300, Mechanicsburg, Pennsylvania
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:
  • Santosh Kumar Nepal graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1740584879
  • Provider Enumeration Date: 01/04/2011
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446429419
  • Enrollment ID: I20170623001944

Medical Identifiers

Medical identifiers for Santosh Kumar Nepal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740584879NPI-NPPES
13977509OtherPACAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 0101255799 (Virginia)Secondary
207RC0200XInternal Medicine - Critical Care Medicine MD460947 (Pennsylvania)Secondary
208M00000XHospitalist 8056 (South Dakota)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD460947 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carlisle Regional Medical CenterCarlisle, PAHospital
Pinnacle Health HospitalsHarrisburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pinnacle Health Medical Services7618960493945

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. Santosh Kumar Nepal allows following entities to bill medicare on his behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180

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. Santosh Kumar Nepal 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
Santosh Kumar Nepal, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Santosh Kumar Nepal, MD
2005 Technology Pkwy Ste 300,
Mechanicsburg, PA 17050-9423

Ph: (717) 988-5864

Reviews and Comments


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Reinaldo Garcia, MD
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Dr. Soni Srivastav, MD
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Medicare: Accepting Medicare Assignments
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Phone: 717-791-2540    Fax: 717-791-2549

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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