Prasada Health Center Llc is a medicare enrolled "General Practice" provider in Surprise, Arizona. Their current practice location is
13733 N. Prasada Parkway, Suite 100, Surprise, Arizona. You can reach out to their office (for appointments etc.) via phone at
(480) 497-4506.
Prasada Health Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prasada Health Center Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508532458.
Healthcare Provider's Profile
| Full Name | Prasada Health Center Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 13733 N. Prasada Parkway, Suite 100, Surprise, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508532458
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628460672
- Enrollment ID: O20220125000356
Medical Identifiers
Medical identifiers for Prasada Health Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508532458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Prasada Health Center Llc acts as a billing entity for following providers:
| Provider Name | Randall K Leraaen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1679581169
PECOS PAC ID: 8426032152
Enrollment ID: I20110609000476 |
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| Provider Name | Brandon W Krainik |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1427347657
PECOS PAC ID: 8628240306
Enrollment ID: I20121015000728 |
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| Provider Name | Ashley Nichole Brock |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1871225409
PECOS PAC ID: 0244603868
Enrollment ID: I20230302000560 |
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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. Prasada Health Center Llc 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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Prasada Health Center Llc
754 S Val Vista Dr Ste 105,
Gilbert, AZ 85296-3139
Ph: () - | Prasada Health Center Llc
13733 N. Prasada Parkway, Suite 100,
Surprise, AZ 85388
Ph: (480) 497-4506 |
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