Praveen K Reddy, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fort Bragg, California. His current practice location is
721 River Dr., Suite B, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at
(707) 964-6910.
Praveen K Reddy is licensed to practice in California (license number C142043) 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 1255301842.
Physician's Profile
Full Name | Praveen K Reddy |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 721 River Dr., Fort Bragg, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255301842
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 10/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 7911999255
- Enrollment ID: I20160609000363
Medical Identifiers
Medical identifiers for Praveen K Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255301842 | NPI | - | NPPES |
115606901 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | C142043 (California) | Primary |
207X00000X | Orthopaedic Surgery | H6536 (Texas) | Secondary |
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. Praveen K Reddy 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 |
Praveen K Reddy, MD 721 River Dr., Suite B, Fort Bragg, CA 95437-5403 Ph: (707) 964-6910 | Praveen K Reddy, MD 721 River Dr., Suite B, Fort Bragg, CA 95437-5403 Ph: (707) 964-6910 |
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