Dr Puthalath Koroth Raghuprasad, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Odessa, Texas. He graduated from medical school in 1967 and has 57 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
2400 E 8th St, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at
(432) 332-5533.
Dr Puthalath Koroth Raghuprasad is licensed to practice in Texas (license number F8987) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073570032.
Physician's Profile
| Full Name | Dr Puthalath Koroth Raghuprasad |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 57 Years |
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| Location | 2400 E 8th St, Odessa, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Puthalath Koroth Raghuprasad graduated from medical school in 1967
NPI Data:
- NPI Number: 1073570032
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 07/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 4284695735
- Enrollment ID: I20041021000093
Medical Identifiers
Medical identifiers for Dr Puthalath Koroth Raghuprasad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073570032 | NPI | - | NPPES |
| 0357949-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | F8987 (Texas) | 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 Puthalath Koroth Raghuprasad allows following entities to bill medicare on his behalf.
| Entity Name | Adolescent & Adult Allergy Center P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720169311
PECOS PAC ID: 9133180441
Enrollment ID: O20041020000910 |
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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 Puthalath Koroth Raghuprasad 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 Puthalath Koroth Raghuprasad, MD
2400 E 8th St,
Odessa, TX 79761-4902
Ph: (432) 332-5533 | Dr Puthalath Koroth Raghuprasad, MD
2400 E 8th St,
Odessa, TX 79761-4902
Ph: (432) 332-5533 |
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