Prashanth K Reddy, MD - Medicare Internal Medicine in Plano, TX

Prashanth K Reddy, MD is a medicare enrolled "Internal Medicine" physician in Plano, Texas. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Texas Health Physicians Group and his current practice location is 6200 W Parker Rd, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 981-3225.

Prashanth K Reddy is licensed to practice in Texas (license number Q0347) 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 1427204270.

Contact Information

Prashanth K Reddy, MD
6200 W Parker Rd,
Plano, TX 75093-8185
(972) 981-3225
Not Available

Map and Direction




Physician's Profile

Full NamePrashanth K Reddy
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location6200 W Parker Rd, Plano, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prashanth K Reddy graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1427204270
  • Provider Enumeration Date: 08/12/2008
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092850669
  • Enrollment ID: I20190215000423

Medical Identifiers

Medical identifiers for Prashanth K Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427204270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine Q0347 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Texas Health Presbyterian Hospital PlanoPlano, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Health Physicians Group43855359541203

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. Prashanth K Reddy allows following entities to bill medicare on his behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759
Entity NameSouth Texas Hospitalist Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790045664
PECOS PAC ID: 6608024633
Enrollment ID: O20120918000181

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. Prashanth K Reddy 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 AddressPractice Location Address
Prashanth K Reddy, MD
6200 W Parker Rd,
Plano, TX 75093-8185

Ph: (972) 981-3225
Prashanth K Reddy, MD
6200 W Parker Rd,
Plano, TX 75093-8185

Ph: (972) 981-3225

Reviews and Comments


Internal Medicine Doctors in Plano, TX

Yinghui Liu, MD, PHD
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Dr. Vijay Sitharam Ramanath, M.D.
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Samuel Afenir Piga, M.D.
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Medicare: Medicare Enrolled
Practice Location: 3105 W 15th St, Suite E, Plano, TX 75075
Phone: 469-467-9755    Fax: 972-801-9917
Dr. Maria Love Lee, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 6200 W Parker Rd, Plano, TX 75093
Phone: 972-293-5151    Fax: 972-981-3967

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.