Pratap Balusu, MD in Lima, OH - Medicare Internal Medicine

Pratap Balusu, MD is a medicare enrolled "Internal Medicine" physician in Lima, Ohio. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Health Physicians Lima, Llc, Mercy Health Physicians Lima Specialty Care Llc and his current practice location is 750 W High St, Ste 250, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 227-7399.

Pratap Balusu is licensed to practice in Ohio (license number 72413) 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 1083607519.

Contact Information

	Pratap Balusu, MD
	750 W High St, Ste 250, Lima, OH 45801-3959
	(419) 227-7399
	(419) 229-0123

Map and Direction

Physician's Profile

Full Name	Pratap Balusu
Gender	Male
Speciality	Internal Medicine
Experience	36 Years
Location	750 W High St, Lima, Ohio
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:

Pratap Balusu graduated from medical school in 1988

NPI Data:

NPI Number: 1083607519
Provider Enumeration Date: 08/30/2005
Last Update Date: 10/31/2014

Medicare PECOS Information:

PECOS PAC ID: 8022919836
Enrollment ID: I20040115000561

Medical Identifiers

Medical identifiers for Pratap Balusu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083607519	NPI	-	NPPES
2028291	Medicaid	OH
000000024961	Other		ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	72413 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health-st Rita's Medical Center	Lima, OH	Hospital
Lima Memorial Health System	Lima, OH	Hospital
Grand Lake Health System	Saint marys, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Physicians Lima, Llc	3375607351	55
Mercy Health Physicians Lima Specialty Care Llc	7012332364	200

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. Pratap Balusu allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Physicians Lima, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102

Entity Name	Knd Development 59 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992034680 PECOS PAC ID: 3678602802 Enrollment ID: O20100909000197

Entity Name	Midwest Hospitalist Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891242319 PECOS PAC ID: 9830487966 Enrollment ID: O20161005001890

Entity Name	Mercy Health Physicians Lima Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433

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. Pratap Balusu 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
Pratap Balusu, MD Po Box 636930, Cincinnati, OH 45263-0001 Ph: (513) 981-5015	Pratap Balusu, MD 750 W High St, Ste 250, Lima, OH 45801-3959 Ph: (419) 227-7399

Reviews and Comments

Internal Medicine Doctors in Lima, OH

Nadia Ghallab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 Fax: 419-226-4315
Deena M Hassuna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 W Market St Ste 260, Lima, OH 45805 Phone: 199-964-0034 Fax: 419-996-5276
Mr. Tariq I Sheikh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2793 Shawnee Rd, Lima, OH 45806 Phone: 419-227-8209 Fax: 419-222-6007
Nathaniel Eric Quinn, MD, MPH, CPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9301
Dr. Eliyazar Gaddam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804 Phone: 419-224-5915 Fax: 419-224-5918
Mr. Charles W Brunelle, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 N Eastown Rd, Lima, OH 45807 Phone: 419-228-3500 Fax: 419-228-6700

Pratap Balusu, MD - Medicare Internal Medicine in Lima, OH