Prabodh Mishra, in Clarksville, TN - Medicare Internal Medicine

Prabodh Mishra, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Clarksville, Tennessee. His current practice location is 647 Dulop Suite 200, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 648-0064.

Prabodh Mishra is licensed to practice in Tennessee (license number 65950) 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 1245681659.

Contact Information

	Prabodh Mishra,
	647 Dulop Suite 200, Clarksville, TN 37040
	(931) 648-0064
	(931) 553-4215

Map and Direction

Physician's Profile

Full Name	Prabodh Mishra
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	647 Dulop Suite 200, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245681659
Provider Enumeration Date: 06/27/2016
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 9638457732
Enrollment ID: I20220802000071

Medical Identifiers

Medical identifiers for Prabodh Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245681659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	LL39709 (South Carolina)	Secondary
207R00000X	Internal Medicine	65950 (Tennessee)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	65950 (Tennessee)	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. Prabodh Mishra allows following entities to bill medicare on his behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

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. Prabodh 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
Prabodh Mishra, 300 20th Ave N Ste 403, Nashville, TN 37203-5180 Ph: (931) 648-0064	Prabodh Mishra, 647 Dulop Suite 200, Clarksville, TN 37040 Ph: (931) 648-0064

Reviews and Comments

Internal Medicine Doctors in Clarksville, TN

Oba Hashim Hollie, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-245-3580 Fax: 931-201-5868
Jigar Kanubhai Shah, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043 Phone: 931-802-8056 Fax: 931-802-8059
Dr. Fausta Ditah, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-3815
Nathan Lidsky, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043 Phone: 847-987-2121
James R Smith, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 344 Peartree Dr, Clarksville, TN 37043 Phone: 931-648-1811
Dr. Sriram Krishnasamy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648
Vernon M Carrigan, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8300 Fax: 931-245-8360

Prabodh Mishra, - Medicare Internal Medicine in Clarksville, TN