Dr Raj Larry Prabhakar, DPM is a medicare enrolled "Podiatrist" provider in Palm Springs, Florida. His current practice location is
4889 S Congress Ave Ste 201, Palm Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 360-2340.
Dr Raj Larry Prabhakar is licensed to practice in Florida (license number PO4332) 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 1952900649.
Healthcare Provider's Profile
| Full Name | Dr Raj Larry Prabhakar |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 4889 S Congress Ave Ste 201, Palm Springs, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952900649
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577925619
- Enrollment ID: I20230822000106
Medical Identifiers
Medical identifiers for Dr Raj Larry Prabhakar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952900649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO4332 (Florida) | Secondary |
| 213E00000X | Podiatrist | PO4332 (Florida) | 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. Dr Raj Larry Prabhakar allows following entities to bill medicare on his behalf.
| Provider Name | All Podiatry Group Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437207933
PECOS PAC ID: 0042252140
Enrollment ID: O20050531000341 |
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| Provider Name | Integrative Foot And Ankle Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386910305
PECOS PAC ID: 5496902611
Enrollment ID: O20120823000204 |
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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. Dr Raj Larry Prabhakar 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 |
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Dr Raj Larry Prabhakar, DPM
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773
Ph: (407) 605-2321 | Dr Raj Larry Prabhakar, DPM
4889 S Congress Ave Ste 201,
Palm Springs, FL 33461-4764
Ph: (561) 360-2340 |
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