Prakash Giddaluri, MD, MPH in Shreveport, LA

Prakash Giddaluri, MD, MPH is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. He graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wk Urgent Care Center-pierremont and his current practice location is 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-3520.

Prakash Giddaluri is licensed to practice in Louisiana (license number 324787) 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 1164603478.

Contact Information

	Prakash Giddaluri, MD, MPH
	1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA 71105-5718
	(318) 212-3520
	(318) 212-3525

Map and Direction

Physician's Profile

Full Name	Prakash Giddaluri
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Prakash Giddaluri graduated from medical school in 2002

NPI Data:

NPI Number: 1164603478
Provider Enumeration Date: 11/15/2007
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8729153796
Enrollment ID: I20220308000313

Medical Identifiers

Medical identifiers for Prakash Giddaluri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164603478	NPI	-	NPPES
8L0266	Other	TX	MEDICARE PTAN
195141001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	PHY TEMP (Texas)	Secondary
207Q00000X	Family Medicine	N0788 (Texas)	Secondary
207Q00000X	Family Medicine	324787 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Urgent Care Center-pierremont	8123016946	32

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. Prakash Giddaluri allows following entities to bill medicare on his behalf.

Entity Name	Wk Urgent Care Center-pierremont
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639115132 PECOS PAC ID: 8123016946 Enrollment ID: O20040503000206

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. Prakash Giddaluri 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
Prakash Giddaluri, MD, MPH 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA 71105-5718 Ph: (318) 212-3520	Prakash Giddaluri, MD, MPH 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA 71105-5718 Ph: (318) 212-3520

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835

Prakash Giddaluri, MD, MPH - Medicare Family Practice in Shreveport, LA