Dr Prasad Medepalli, is a medicare enrolled "Internal Medicine" physician in Fairlawn, New Jersey. His current practice location is
15-01 Broadway (suite), Suite 38, Fairlawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 791-9241.
Dr Prasad Medepalli is licensed to practice in New Jersey (license number 30507) 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 1912941691.
Physician's Profile
| Full Name | Dr Prasad Medepalli |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 15-01 Broadway (suite), Fairlawn, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912941691
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032142971
- Enrollment ID: I20050913000062
Medical Identifiers
Medical identifiers for Dr Prasad Medepalli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912941691 | NPI | - | NPPES |
| 2984300 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 30507 (New Jersey) | 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. Dr Prasad Medepalli allows following entities to bill medicare on his behalf.
| Entity Name | County Of Essex |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922056118
PECOS PAC ID: 7214837061
Enrollment ID: O20040109000480 |
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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. Dr Prasad Medepalli 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 Address | Practice Location Address |
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Dr Prasad Medepalli,
15-01 Broadway (suite),
Fairlawn, NJ 07410
Ph: (201) 791-9241 | Dr Prasad Medepalli,
15-01 Broadway (suite), Suite 38,
Fairlawn, NJ 07410
Ph: (201) 791-9241 |
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