Pranisha Gautam, - Medicare Infectious Disease in New Hyde Park, NY

Pranisha Gautam, is a medicare enrolled "Internal Medicine - Infectious Disease" physician in New Hyde Park, New York. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 1025 Lakeville Rd, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (917) 723-1546.

Pranisha Gautam is licensed to practice in New York (license number 268347) 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 1841596103.

Contact Information

Pranisha Gautam,
1025 Lakeville Rd,
New Hyde Park, NY 11040-3041
(917) 723-1546
Not Available



Physician's Profile

Full NamePranisha Gautam
GenderFemale
SpecialityInfectious Disease
Experience20 Years
Location1025 Lakeville Rd, New Hyde Park, New York
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:
  • Pranisha Gautam graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1841596103
  • Provider Enumeration Date: 02/04/2011
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385879345
  • Enrollment ID: I20131028001949

Medical Identifiers

Medical identifiers for Pranisha Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841596103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 268347 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Shore University HospitalManhasset, NYHospital
Long Island Jewish Medical CenterNew hyde park, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685099

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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. Pranisha Gautam allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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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. Pranisha Gautam 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
Pranisha Gautam,
506 6th St,
Brooklyn, NY 11215-3609

Ph: () -
Pranisha Gautam,
1025 Lakeville Rd,
New Hyde Park, NY 11040-3041

Ph: (917) 723-1546

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Internal Medicine Doctors in New Hyde Park, NY

Dr. Farheen Hasan, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 27005 76th Ave, New Hyde Park, NY 11040
Phone: 718-470-7000    
Carylann Hadjiyane, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1991 Marcus Ave, Suite 101, New Hyde Park, NY 11042
Phone: 516-365-4949    Fax: 516-365-5462
Paul S. Berg, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042
Phone: 516-684-9229    Fax: 516-977-8589
Dr. Michael Jason Levine, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1999 Marcus Ave Ste 220, New Hyde Park, NY 11042
Phone: 516-869-5400    Fax: 516-869-5800
Gisele Wolf-klein, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 2800 Marcus Ave, Suite 200, New Hyde Park, NY 11042
Phone: 516-708-2522    Fax: 516-708-2570
Dr. Monty Max Bodenheimer, MD
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3003 New Hyde Park Rd, Ste 406, New Hyde Park, NY 11042
Phone: 516-719-0102    Fax: 516-358-5403
Michael Xin Chen, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 27005 76th Ave, New Hyde Park, NY 11040
Phone: 718-470-3377    

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