Praveen K Reddy, MD is a
Orthopaedic Surgery physician based in Fort Bragg, California. Praveen K Reddy is licensed to practice in California (license number C142043) and his current practice location is 721 River Dr., Suite B, Fort Bragg, California. He can be reached at his office (for appointments etc.) via phone at
(707) 964-6910.
NPI number for Praveen K Reddy is 1255301842 and his current mailing address is 721 River Dr., Suite B, Fort Bragg, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255301842.
Physician's Profile
| Full Name | Praveen K Reddy |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 721 River Dr., Fort Bragg, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255301842
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 10/06/2016
Medical Identifiers
Medical identifiers for Praveen K Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255301842 | NPI | - | NPPES |
| 115606901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | C142043 (California) | Primary |
| 207X00000X | Orthopaedic Surgery | H6536 (Texas) | Secondary |
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. Praveen K Reddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Praveen K Reddy, MD
721 River Dr., Suite B,
Fort Bragg, CA 95437-5403
Ph: (707) 964-6910 | Praveen K Reddy, MD
721 River Dr., Suite B,
Fort Bragg, CA 95437-5403
Ph: (707) 964-6910 |
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