Rao Prasad Immaneni, MD in Statesboro, GA

Rao Prasad Immaneni, MD is a Pediatrics physician based in Statesboro, Georgia. Rao Prasad Immaneni is licensed to practice in Georgia (license number 044756) and his current practice location is 1230 Brampton Ave, Statesboro, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 489-5437.

NPI number for Rao Prasad Immaneni is 1720196520 and his current mailing address is Po Box 1039, Statesboro, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720196520.

Contact Information

	Rao Prasad Immaneni, MD
	1230 Brampton Ave, Statesboro, GA 30458-0849
	(912) 489-5437
	(912) 489-5550

Map and Direction

Physician's Profile

Full Name	Rao Prasad Immaneni
Gender	Male
Speciality	Pediatrics
Location	1230 Brampton Ave, Statesboro, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1720196520
Provider Enumeration Date: 08/29/2006
Last Update Date: 05/11/2009

Medical Identifiers

Medical identifiers for Rao Prasad Immaneni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720196520	NPI	-	NPPES
000798377A	Other	GA	PEACH STATE ID
2263921	Other	GA	UNITED HEALTH CARE
598970	Other	GA	BLUE CROSS BLUE SHIELD
1917290	Other	GA	CCN/FIRST HEALTH
5261615	Other	GA	CIGNA
0007241193	Other	GA	AETNA
000798377A	Medicaid	GA
10057735	Other	GA	AMERIGROUP PROVIDER ID
336225	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	044756 (Georgia)	Primary

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. Rao Prasad Immaneni 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
Rao Prasad Immaneni, MD Po Box 1039, Statesboro, GA 30459-1039 Ph: (912) 489-5437	Rao Prasad Immaneni, MD 1230 Brampton Ave, Statesboro, GA 30458-0849 Ph: (912) 489-5437

Reviews and Comments

Pediatrics Doctors in Statesboro, GA

Michelle R Zeanah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Savannah Ave, Statesboro, GA 30458 Phone: 912-489-4379 Fax: 912-681-4379
Olufowobi Gbadebo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 116 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-489-1629
Swaroop M Reddy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5 W Altman St, Statesboro, GA 30458 Phone: 912-764-6906 Fax: 912-764-3252
Dr. Matthew Daniel Powellson, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1310 Brampton Ave, Statesboro, GA 30458 Phone: 912-486-1873 Fax: 912-486-2394
Dr. Frances Elizabeth Logan Penn, M.D, M.S.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 16741 Ga Highway 67, Suite F, Statesboro, GA 30458 Phone: 912-681-4555 Fax: 912-681-6551
Dr. Cindy O'bryant Gartmond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 Fax: 912-764-8401
Dr. Anna Benson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4451 Country Club Rd Ste B, Statesboro, GA 30458 Phone: 912-871-5437

Rao Prasad Immaneni, MD - Pediatrics in Statesboro, GA