Pratik D Mehta, MD - Medicare Surgery in Aliso Viejo, CA

Pratik D Mehta, MD is a medicare enrolled "Surgery" physician in Aliso Viejo, California. His current practice location is 120 Mayfair, Aliso Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 357-7142.

Pratik D Mehta is licensed to practice in California (license number A139446) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063853919.

Contact Information

Pratik D Mehta, MD
120 Mayfair,
Aliso Viejo, CA 92656-2832
(949) 357-7142
(209) 468-7042



Physician's Profile

Full NamePratik D Mehta
GenderMale
SpecialitySurgery
Location120 Mayfair, Aliso Viejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063853919
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012252497
  • Enrollment ID: I20200923003112

Medical Identifiers

Medical identifiers for Pratik D Mehta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063853919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A139446 (California)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. Pratik D Mehta allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981

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Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

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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. Pratik D Mehta 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
Pratik D Mehta, MD
120 Mayfair,
Aliso Viejo, CA 92656-2832

Ph: (949) 357-7142
Pratik D Mehta, MD
120 Mayfair,
Aliso Viejo, CA 92656-2832

Ph: (949) 357-7142

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Surgery Doctors in Aliso Viejo, CA


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