Prayuk A Waran, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Deland, Florida. He went to Indiana University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Florida Hospital Medical Group Inc and his current practice location is
999 N Stone St Ste B, Deland, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 740-4017.
Prayuk A Waran is licensed to practice in Florida (license number ME155251) 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 1992819957.
Physician's Profile
| Full Name | Prayuk A Waran |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 35 Years |
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| Location | 999 N Stone St Ste B, Deland, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Prayuk A Waran attended and graduated from Indiana University School Of Medicine in 1989
NPI Data:
- NPI Number: 1992819957
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 12/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769586940
- Enrollment ID: I20221104001201
Medical Identifiers
Medical identifiers for Prayuk A Waran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992819957 | NPI | - | NPPES |
| 000000080492 | Other | IN | ANTHEM |
| 100385540 | Medicaid | IN | |
| 000000721936 | Other | IN | ANTHEM TRADITIONAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 01041051A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | G130667 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME155251 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1034 |
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. Prayuk A Waran allows following entities to bill medicare on his behalf.
| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807 |
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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. Prayuk A Waran 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 |
|---|
Prayuk A Waran, MD
999 N Stone St Ste B,
Deland, FL 32720-0800
Ph: (386) 740-4017 | Prayuk A Waran, MD
999 N Stone St Ste B,
Deland, FL 32720-0800
Ph: (386) 740-4017 |
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