Prof Kondragunta Rajendra Prasad, MD is a medicare enrolled "Transplant Surgery" physician in Milwaukee, Wisconsin. His current practice location is
9200 W Wisconsin Avenue, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 805-6400.
Prof Kondragunta Rajendra Prasad is licensed to practice in Wisconsin (license number 9-876) 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 1033808498.
Physician's Profile
Full Name | Prof Kondragunta Rajendra Prasad |
---|
Gender | Male |
---|
Speciality | Transplant Surgery |
---|
Location | 9200 W Wisconsin Avenue, Milwaukee, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033808498
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042676975
- Enrollment ID: I20230519000933
Medical Identifiers
Medical identifiers for Prof Kondragunta Rajendra Prasad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033808498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | 9-876 (Wisconsin) | Secondary |
204F00000X | Transplant Surgery | 9-876 (Wisconsin) | 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. Prof Kondragunta Rajendra Prasad allows following entities to bill medicare on his behalf.
Entity Name | The Medical College Of Wisconsin Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
---|
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. Prof Kondragunta Rajendra Prasad 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 |
Prof Kondragunta Rajendra Prasad, MD 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 Ph: (414) 805-6400 | Prof Kondragunta Rajendra Prasad, MD 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 Ph: (414) 805-6400 |
Reviews and Comments