Dr Prasanthi Koduru Mishra, MD in Anaheim, CA

Dr Prasanthi Koduru Mishra, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Anaheim, California. Her current practice location is 3440 E La Palma Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 644-7040.

Dr Prasanthi Koduru Mishra is licensed to practice in California (license number A98005) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437353802.

Contact Information

	Dr Prasanthi Koduru Mishra, MD
	3440 E La Palma Ave, Anaheim, CA 92806-2020
	(714) 644-7040
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Prasanthi Koduru Mishra
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	3440 E La Palma Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437353802
Provider Enumeration Date: 06/12/2007
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5395918403
Enrollment ID: I20130227000209

Medical Identifiers

Medical identifiers for Dr Prasanthi Koduru Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437353802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A98005 (California)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	A98005 (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. Dr Prasanthi Koduru Mishra allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Prasanthi Koduru Mishra 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
Dr Prasanthi Koduru Mishra, MD 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: () -	Dr Prasanthi Koduru Mishra, MD 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (714) 644-7040

Reviews and Comments

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Dr Prasanthi Koduru Mishra, MD - Medicare Pediatrics in Anaheim, CA