Prateeka KoulMD
Psychiatry & Neurology, Neurology
2027 Medicare Advantage
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Medicare Advantage plans for Montour County, PA.
Use the name or plan ID on your member card, or choose your insurance company.
Directory results See what each insurance company reports
Listed on 41 Medicare Advantage plans for 2027
Carrier directories and Medicare.gov provider data list Prateeka on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.
The 90 Medicare Advantage plans we show for Montour County, PA in 2027
- 41 list Prateeka
- 40 not listed
- 9 not checked yet
Humana
13 plans list Prateeka.
Humana Essentials Plus Giveback (PPO)
Source: Humana provider directory.
Listed offices for this plan:
- 5666 E State St, Rockford, IL, 61108
This result applies to these offices. Other locations are not confirmed.
$0a monthHumana USAA Honor Giveback (PPO)
Source: Humana provider directory.
Listed offices for this plan:
- 5666 E State St, Rockford, IL, 61108
This result applies to these offices. Other locations are not confirmed.
$0a monthHumana USAA Honor Giveback with Rx (PPO)
Source: Humana provider directory.
Listed offices for this plan:
- 5666 E State St, Rockford, IL, 61108
This result applies to these offices. Other locations are not confirmed.
$0a monthHumana Value Choice (PPO)
Source: Humana provider directory.
Listed offices for this plan:
- 5666 E State St, Rockford, IL, 61108
This result applies to these offices. Other locations are not confirmed.
$0a month
Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield
10 plans list Prateeka; not listed on 2 other plans.
Capital Blue Cross Essential (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 100 Justin Dr, Danville, PA, 17821
- 15 Wesner Ln, # 2, Danville, PA, 17821
- 9 Stearns Ln, Danville, PA, 17821
- 35 Justin Dr, Danville, PA, 17821
- 436 W Valley Ave, Elysburg, PA, 17824
- 480 Central Rd, Bloomsburg, PA, 17815
- 4200 Hospital Rd, Coal Township, PA, 17866
- 75 Medical Park Dr, Lewisburg, PA, 17837
- 1575 N Old Trl, Selinsgrove, PA, 17870
- 35 S Mountain Blvd, Mountain Top, PA, 18707
- 1000 E Mountain Blvd, Wilkes Barre, PA, 18711
- 42 N Main St, Pittston, PA, 18640
This result applies to these offices. Other locations are not confirmed.
$0a monthCapital Blue Cross Select (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 100 Justin Dr, Danville, PA, 17821
- 15 Wesner Ln, # 2, Danville, PA, 17821
- 9 Stearns Ln, Danville, PA, 17821
- 35 Justin Dr, Danville, PA, 17821
- 436 W Valley Ave, Elysburg, PA, 17824
- 480 Central Rd, Bloomsburg, PA, 17815
- 4200 Hospital Rd, Coal Township, PA, 17866
- 75 Medical Park Dr, Lewisburg, PA, 17837
- 1575 N Old Trl, Selinsgrove, PA, 17870
- 35 S Mountain Blvd, Mountain Top, PA, 18707
- 1000 E Mountain Blvd, Wilkes Barre, PA, 18711
- 42 N Main St, Pittston, PA, 18640
This result applies to these offices. Other locations are not confirmed.
$0a monthCapital Blue Cross Value (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 100 Justin Dr, Danville, PA, 17821
- 15 Wesner Ln, # 2, Danville, PA, 17821
- 9 Stearns Ln, Danville, PA, 17821
- 35 Justin Dr, Danville, PA, 17821
- 436 W Valley Ave, Elysburg, PA, 17824
- 480 Central Rd, Bloomsburg, PA, 17815
- 4200 Hospital Rd, Coal Township, PA, 17866
- 75 Medical Park Dr, Lewisburg, PA, 17837
- 1575 N Old Trl, Selinsgrove, PA, 17870
- 35 S Mountain Blvd, Mountain Top, PA, 18707
- 1000 E Mountain Blvd, Wilkes Barre, PA, 18711
- 42 N Main St, Pittston, PA, 18640
This result applies to these offices. Other locations are not confirmed.
$0a monthCapital Blue Cross Basic (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 100 Justin Dr, Danville, PA, 17821
- 15 Wesner Ln, # 2, Danville, PA, 17821
- 9 Stearns Ln, Danville, PA, 17821
- 35 Justin Dr, Danville, PA, 17821
- 436 W Valley Ave, Elysburg, PA, 17824
- 480 Central Rd, Bloomsburg, PA, 17815
- 4200 Hospital Rd, Coal Township, PA, 17866
- 75 Medical Park Dr, Lewisburg, PA, 17837
- 1575 N Old Trl, Selinsgrove, PA, 17870
- 35 S Mountain Blvd, Mountain Top, PA, 18707
- 1000 E Mountain Blvd, Wilkes Barre, PA, 18711
- 42 N Main St, Pittston, PA, 18640
This result applies to these offices. Other locations are not confirmed.
$28a month
8 more Capital Blue Cross plans haven't been checked yet.
Geisinger Gold
8 plans list Prateeka.
Geisinger Gold Classic Essential Rx (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthGeisinger Gold Heritage (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthGeisinger Gold Preferred Complete Rx (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthGeisinger Gold Value Rx (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$29a month
1 more Geisinger Gold plan hasn't been checked yet.
UPMC for Life
8 plans list Prateeka.
UPMC for Life Essential Rx (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthUPMC for Life HMO No Rx (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthUPMC for Life HMO Premier Rx (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a monthUPMC for Life PPO Salute (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a month
UPMC for Life Complete Care
1 plan lists Prateeka.
UPMC for Life Complete Care (HMO D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 35 Justin Dr, Danville, PA, 17821
This result applies to these offices. Other locations are not confirmed.
$0a month
VISTA Health Plan Inc.
1 plan lists Prateeka.
Amerihealth Caritas VIP Care (HMO D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 100 N Academy Ave, Danville, PA, 17822
- 1000 E Mountain Dr, Wilkes Barre, PA, 18711
- 1800 Mulberry St, Scranton, PA, 18510
This result applies to these offices. Other locations are not confirmed.
$9a month
Aetna Medicare
Not listed on its 10 plans here. That isn't proof they're out of network.
Devoted
Not listed on its 10 plans here. That isn't proof they're out of network.
Highmark Wholecare Medicare Assured
Not listed on its 2 plans here. That isn't proof they're out of network.
Jefferson Health Plans
Not listed on its 1 plan here. That isn't proof they're out of network.
UnitedHealthcare
Not listed on its 12 plans here. That isn't proof they're out of network.
Wellcare
Not listed on its 3 plans here. That isn't proof they're out of network.
Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.
Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Prateeka takes it. Free.
Original Medicare
Original Medicare status
Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.
Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.
No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.
CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026
Where they practice
Practice location
- NPI issued
- 2018
- Registry record updated
- Jul 8, 2026
Medicare's clinician details aren't available on this page yet.
Questions
Common questions
Which 2027 Medicare Advantage plans list Prateeka Koul?
In Montour County, PA, 41 Medicare Advantage plans for 2027 list Prateeka in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana USAA Honor Giveback (PPO) and Humana USAA Honor Giveback with Rx (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.
Does Prateeka Koul take Humana Medicare Advantage plans?
Humana's own provider directory lists Prateeka on 13 Medicare Advantage plans for 2027 in Montour County, PA, including Humana Essentials Plus Giveback (PPO) and Humana USAA Honor Giveback (PPO). Confirm with the office or Humana before you enroll.
Does Prateeka Koul take Capital Blue Cross Medicare Advantage plans?
Medicare.gov provider data lists Prateeka on 10 Medicare Advantage plans for 2027 in Montour County, PA, including Capital Blue Cross Essential (HMO) and Capital Blue Cross Select (PPO). 2 other plans did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Capital Blue Cross before you enroll.
Does Prateeka Koul take Geisinger Gold Medicare Advantage plans?
Medicare.gov provider data lists Prateeka on 8 Medicare Advantage plans for 2027 in Montour County, PA, including Geisinger Gold Classic Essential Rx (HMO) and Geisinger Gold Heritage (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Geisinger Gold before you enroll.
Where does Prateeka Koul practice?
100 N Academy Ave, Danville, PA 17822.
How do I confirm Prateeka is in my plan's network?
Call the member services number on your plan card and give them the NPI 1093211161, or ask a Silverpath advisor to check for you. It's free.
For providers
Is this your practice?
What patients see here today:
- Provider searches did not return a listing for Prateeka Koul on 38 plans from Aetna Medicare, Devoted, Highmark Wholecare Medicare Assured, Jefferson Health Plans, UnitedHealthcare and Wellcare in Montour County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.
Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.