Mdcare Clinic Llc in Loganville, GA - Medicare General Practice

Mdcare Clinic Llc is a medicare enrolled primary clinic (General Practice) in Loganville, Georgia. The current practice location for Mdcare Clinic Llc is 106 Broad St, Loganville, Georgia. For appointments, you can reach them via phone at (442) 333-7656. The mailing address for Mdcare Clinic Llc is 106 Broad St, Loganville, Georgia and phone number is () -.

Mdcare Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932947751. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (442) 333-7656.

Contact Information

	Mdcare Clinic Llc
	106 Broad St Loganville GA 30052-7463
	(442) 333-7656
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Mdcare Clinic Llc
Speciality	General Practice
Location	106 Broad St, Loganville, Georgia
Authorized Official Name and Position	Prashanth Rawla (OWNER)
Authorized Official Contact	2146669528
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mdcare Clinic Llc 106 Broad St Loganville GA 30052-7463 Ph: () -	Mdcare Clinic Llc 106 Broad St Loganville GA 30052-7463 Ph: (442) 333-7656

NPI Details:

NPI Number	1932947751
Provider Enumeration Date	07/16/2024
Last Update Date	07/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4688108012
Medicare Enrollment ID	O20241107003342

Medical Identifiers

Medical identifiers for Mdcare Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932947751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mdcare Clinic Llc acts as a billing entity for following providers:

Provider Name	Azeem A. Mohammed
Provider Type	Practitioner - Nephrology
Provider Identifiers	NPI Number: 1124258843 PECOS PAC ID: 3476787029 Enrollment ID: I20170815001740

Provider Name	Prashanth Reddy Rawla
Provider Type	Practitioner - Hospitalist
Provider Identifiers	NPI Number: 1942596077 PECOS PAC ID: 8729203914 Enrollment ID: I20241023003627

Reviews and Comments

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Mdcare Clinic Llc - Medicare Primary Care in Loganville, GA