Sheetal Patel, MD - Medicare Rheumatology in Summit, NJ

Sheetal Patel, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Summit, New Jersey. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Practice Associates Medical Group and her current practice location is 33 Overlook Rd, Medical Arts Building 1 - Suite L01, Summit, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 598-7940.

Sheetal Patel is licensed to practice in New Jersey (license number 25MA08819200) 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 1316258122.

Contact Information

Sheetal Patel, MD
33 Overlook Rd, Medical Arts Building 1 - Suite L01,
Summit, NJ 07901-3570
(908) 598-7940
Not Available

Map and Direction




Physician's Profile

Full NameSheetal Patel
GenderFemale
SpecialityRheumatology
Experience20 Years
Location33 Overlook Rd, Summit, New Jersey
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:
  • Sheetal Patel graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1316258122
  • Provider Enumeration Date: 06/25/2010
  • Last Update Date: 02/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1254520661
  • Enrollment ID: I20110114000609

Medical Identifiers

Medical identifiers for Sheetal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316258122NPI-NPPES
0247111MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA08819200 (New Jersey)Secondary
207RR0500XInternal Medicine - Rheumatology 25MA08819200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Morristown Medical CenterMorristown, NJHospital
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Practice Associates Medical Group58907031771174

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. Sheetal Patel allows following entities to bill medicare on her behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

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. Sheetal 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
Sheetal Patel, MD
Po Box 416457,
Boston, MA 02241-6457

Ph: () -
Sheetal Patel, MD
33 Overlook Rd, Medical Arts Building 1 - Suite L01,
Summit, NJ 07901-3570

Ph: (908) 598-7940

Reviews and Comments


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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.