Dr Prathik Mudaliar, MD in Augusta, GA - Medicare Anesthesiology

Dr Prathik Mudaliar, MD is a medicare enrolled "Anesthesiology" physician in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-3873.

Dr Prathik Mudaliar is licensed to practice in Georgia (license number 94674) 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 1437644226.

Contact Information

	Dr Prathik Mudaliar, MD
	1120 15th St, Augusta, GA 30912-3220
	(706) 721-3873
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Prathik Mudaliar
Gender	Male
Speciality	Anesthesiology
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437644226
Provider Enumeration Date: 06/25/2018
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6608257985
Enrollment ID: I20230720003042

Medical Identifiers

Medical identifiers for Dr Prathik Mudaliar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437644226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	010105 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207L00000X	Anesthesiology	94674 (Georgia)	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. Dr Prathik Mudaliar allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Anesthesia Billing Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Dr Prathik Mudaliar 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
Dr Prathik Mudaliar, MD 1120 15th St Rm Bi-2144, Augusta, GA 30912-2700 Ph: (706) 721-3873	Dr Prathik Mudaliar, MD 1120 15th St, Augusta, GA 30912-3220 Ph: (706) 721-3873

Reviews and Comments

Anesthesiology Doctors in Augusta, GA

Rosa Maria Lopez Rincon, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836
Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180
Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735
Dr. Edward Kurt Leahy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188
Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813
Dr. John William Whiteley, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763
Sami Mohammad Hafsa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871

Dr Prathik Mudaliar, MD - Medicare Anesthesiology in Augusta, GA