Dr Prashanth Podaralla, MD | |
100 Medical Dr, Hannibal, MO 63401-6877 | |
(573) 231-3798 | |
(573) 231-3827 |
Full Name | Dr Prashanth Podaralla |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 24 Years |
Location | 100 Medical Dr, Hannibal, Missouri |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730226952 | NPI | - | NPPES |
1730226952 | Medicaid | MO | |
137720019 | Other | MO | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2006017617 (Missouri) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 2006017617 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hannibal Dialysis | Hannibal, MO | Dialysis facility |
Dialysis Clinics, Inc - Louisiana | Louisiana, MO | Dialysis facility |
Blessing Hospital | Quincy, IL | Hospital |
Hannibal Regional Hospital | Hannibal, MO | Hospital |
Pike County Memorial Hospital | Louisiana, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Blessing Hospital | 3072422534 | 349 |
Entity Name | Hannibal Clinic Operations, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427037225 PECOS PAC ID: 9931094182 Enrollment ID: O20040217001075 |
Entity Name | Hannibal Clinic Operations, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962481663 PECOS PAC ID: 9931094182 Enrollment ID: O20050310000149 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Mailing Address | Practice Location Address |
---|---|
Dr Prashanth Podaralla, MD 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 231-3798 | Dr Prashanth Podaralla, MD 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 231-3798 |
Jennifer Lynn Minoff, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3537 | |
Dr. John Paul Greving, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3414 | |
Dr. Barbara K Tuley, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 50 El Rancho Dr, Hannibal, MO 63401 Phone: 918-429-6002 Fax: 573-719-3480 | |
Dr. Karol Edward Rosner, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3515 | |
Dr. George P Kerkemeyer, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3783 Fax: 573-231-3784 | |
Santhisri Kodali, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3314 | |
Imtiaz Ismail, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3758 |