Dr Sudhakar Hejmadi Prabhu, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Brooklyn, New York. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Coney Island Medical Practice Plan, P.c. and his current practice location is
9920 4th Ave, Suite 315, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 833-2620.
Dr Sudhakar Hejmadi Prabhu is licensed to practice in New York (license number 123558) 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 1922142348.
Physician's Profile
| Full Name | Dr Sudhakar Hejmadi Prabhu |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 53 Years |
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| Location | 9920 4th Ave, Brooklyn, New York |
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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 Sudhakar Hejmadi Prabhu graduated from medical school in 1971
NPI Data:
- NPI Number: 1922142348
- Provider Enumeration Date: 02/18/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123191269
- Enrollment ID: I20080722000618
Medical Identifiers
Medical identifiers for Dr Sudhakar Hejmadi Prabhu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922142348 | NPI | - | NPPES |
| 00278253 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 123558 (New York) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 123558 (New York) | Primary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | 123558 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coney Island Medical Practice Plan, P.c. | 5496944803 | 319 |
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 Sudhakar Hejmadi Prabhu allows following entities to bill medicare on his behalf.
| Entity Name | Coney Island Medical Practice Plan, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660 |
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| Entity Name | Physician Affiliate Group Of New York Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270 |
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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 Sudhakar Hejmadi Prabhu 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 Sudhakar Hejmadi Prabhu, MD
9920 4th Ave, Suite 315,
Brooklyn, NY 11209-8333
Ph: (718) 833-2620 | Dr Sudhakar Hejmadi Prabhu, MD
9920 4th Ave, Suite 315,
Brooklyn, NY 11209-8333
Ph: (718) 833-2620 |
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