Pravalika Rudraraju, MD in Garden City, MI - Medicare Internal Medicine

Pravalika Rudraraju, MD is a medicare enrolled "Internal Medicine" physician in Garden City, Michigan. Her current practice location is 6245 Inkster Rd Dept Of, Garden City, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 458-4486.

Pravalika Rudraraju is licensed to practice in Michigan (license number 4351046414) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407474562.

Contact Information

	Pravalika Rudraraju, MD
	6245 Inkster Rd Dept Of, Garden City, MI 48135-4001
	(734) 458-4486
	Not Available

Map and Direction

Physician's Profile

Full Name	Pravalika Rudraraju
Gender	Female
Speciality	Internal Medicine
Location	6245 Inkster Rd Dept Of, Garden City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407474562
Provider Enumeration Date: 07/06/2020
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6608299730
Enrollment ID: I20230424001478

Medical Identifiers

Medical identifiers for Pravalika Rudraraju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407474562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	U1556 (Texas)	Secondary
208M00000X	Hospitalist	U1556 (Texas)	Secondary
207R00000X	Internal Medicine	4351046414 (Michigan)	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. Pravalika Rudraraju allows following entities to bill medicare on her behalf.

Entity Name	La Magna Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699285346 PECOS PAC ID: 0749540045 Enrollment ID: O20180206001403

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. Pravalika Rudraraju 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
Pravalika Rudraraju, MD 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 Ph: (734) 458-4486	Pravalika Rudraraju, MD 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 Ph: (734) 458-4486

Reviews and Comments

Internal Medicine Doctors in Garden City, MI

Dr. Bojan Jokic, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486 Fax: 734-458-4496
Dr. Hassan Khan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Dr. Suryakumari Guthikonda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30260 Cherry Hill Rd, Suite A, Garden City, MI 48135 Phone: 734-466-9000 Fax: 734-466-9700
Dr. Adam Edward Chornoby, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30626 Ford Rd, Garden City, MI 48135 Phone: 734-261-9211 Fax: 734-261-8537
Dr. Rakesh Reddy Devireddy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Dr. Yaser T Dawod, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6255 Inkster Rd Ste 307, Garden City, MI 48135 Phone: 734-525-0319 Fax: 734-525-7227
Dr. Kirsten Waarala, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486

Pravalika Rudraraju, MD - Medicare Internal Medicine in Garden City, MI