Dr Prasad R Ancha, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Summerfield, Florida. His current practice location is
10250 Se 167th Place Rd Unit 5, Summerfield, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 307-9925.
Dr Prasad R Ancha is licensed to practice in Florida (license number ME120916) 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 1659313120.
Physician's Profile
| Full Name | Dr Prasad R Ancha |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 10250 Se 167th Place Rd Unit 5, Summerfield, Florida |
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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: 1659313120
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 01/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294850574
- Enrollment ID: I20141106001051
Medical Identifiers
Medical identifiers for Dr Prasad R Ancha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659313120 | NPI | - | NPPES |
| 013198900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | ME120916 (Florida) | 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 R Ancha allows following entities to bill medicare on his behalf.
| Entity Name | Lakeview Healthcare System, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841484979
PECOS PAC ID: 8921074733
Enrollment ID: O20080520000184 |
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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 R Ancha 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 R Ancha, MD
10250 Se 167th Place Rd, Suite 5-1,
Summerfield, FL 34491-8686
Ph: (352) 307-9925 | Dr Prasad R Ancha, MD
10250 Se 167th Place Rd Unit 5,
Summerfield, FL 34491-8682
Ph: (352) 307-9925 |
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