Prasanth Bobby Katta, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sycamore, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Central Dupage Physician Group and his current practice location is
2111 Midlands Ct, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 758-0000.
Prasanth Bobby Katta is licensed to practice in Illinois (license number 036154765) 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 1720493877.
Physician's Profile
| Full Name | Prasanth Bobby Katta |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 10 Years |
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| Location | 2111 Midlands Ct, Sycamore, Illinois |
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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:
- Prasanth Bobby Katta graduated from medical school in 2014
NPI Data:
- NPI Number: 1720493877
- Provider Enumeration Date: 06/27/2014
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991011694
- Enrollment ID: I20210226000562
Medical Identifiers
Medical identifiers for Prasanth Bobby Katta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720493877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0401X | Family Medicine - Addiction Medicine | FK5377355 (Kentucky) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | R3525 (Kentucky) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 036154765 (Illinois) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036154765 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Dupage Physician Group | 5890696231 | 977 |
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. Prasanth Bobby Katta allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Prasanth Bobby Katta 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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Prasanth Bobby Katta, DO
2111 Midlands Ct,
Sycamore, IL 60178-3125
Ph: (815) 758-0000 | Prasanth Bobby Katta, DO
2111 Midlands Ct,
Sycamore, IL 60178-3125
Ph: (815) 758-0000 |
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