Prathima Vemuru Reddy, MD - Medicare Internal Medicine in Wakefield, MA

Prathima Vemuru Reddy, MD is a medicare enrolled "Internal Medicine" physician in Wakefield, Massachusetts. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Congenial Healthcare Llc and her current practice location is 1 Walton Street, Wakefield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 246-9131.

Prathima Vemuru Reddy is licensed to practice in Massachusetts (license number 71487) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669447298.

Contact Information

Prathima Vemuru Reddy, MD
1 Walton Street,
Wakefield, MA 01880
(781) 246-9131
(781) 246-9159

Map and Direction




Physician's Profile

Full NamePrathima Vemuru Reddy
GenderFemale
SpecialityInternal Medicine
Experience40 Years
Location1 Walton Street, Wakefield, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prathima Vemuru Reddy graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1669447298
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 02/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9739196775
  • Enrollment ID: I20060315000593

Medical Identifiers

Medical identifiers for Prathima Vemuru Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669447298NPI-NPPES
071487OtherMATUFTS
65035OtherMAHARVARD PILGRIM
3054420MedicaidMA
J09157OtherMABC/BS
73308OtherMAAFFORDABLE NETWORKS
0401419OtherMAUNITED HEALTHCARE
587634OtherMAAETNA
B10071201OtherMACIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 71487 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
All Care Vna-greater Lynn IncLynn, MAHome health agency
Lahey Hospital & Medical Center, BurlingtonBurlington, MAHospital
Northeast Hospital CorporationBeverly, MAHospital
Melrosewakefield HealthcareMelrose, MAHospital
North Shore Medical Center -Salem, MAHospital
Massachusetts General HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Congenial Healthcare Llc539501152212

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. Prathima Vemuru Reddy allows following entities to bill medicare on her behalf.
Entity NameCongenial Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730608720
PECOS PAC ID: 5395011522
Enrollment ID: O20171016002508

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. Prathima Vemuru 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
Prathima Vemuru Reddy, MD
33 Chandler Rd,
Boxford, MA 01921-1512

Ph: (978) 561-1732
Prathima Vemuru Reddy, MD
1 Walton Street,
Wakefield, MA 01880

Ph: (781) 246-9131

Reviews and Comments


Internal Medicine Doctors in Wakefield, MA

Dr. Davis Bu, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 888 Main St Ste 101, Wakefield, MA 01880
Phone: 781-620-4888    Fax: 781-245-2602
Lynn Ellen Jumper, ANP
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Medicare: Accepting Medicare Assignments
Practice Location: 888 Main St Ste 101, Wakefield, MA 01880
Phone: 781-620-4888    Fax: 781-245-2602
Dr. Bruce G Watrous, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 607 North Avenue, Door 17, Wakefield, MA 01880
Phone: 781-942-0606    Fax: 781-942-4674
Dr. John David Mudrock, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 888 Main St Ste 101, Wakefield, MA 01880
Phone: 781-620-4888    Fax: 781-245-2602
Nicole Anne Bloor, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 888 Main St Ste 101, Wakefield, MA 01880
Phone: 781-620-4888    Fax: 781-245-2602
Cathy Dowen, NP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 607 North Avenue Door 17, Wakefield, MA 01880
Phone: 781-942-0606    

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.