Dr Hosamane S Prabhakara, MD is a medicare enrolled "Allergy & Immunology" physician in Fort Gordon, Georgia. His current practice location is
300 East Hospital Road, Eishenhower Medical Ctr, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-9123.
Dr Hosamane S Prabhakara is licensed to practice in Georgia (license number 042394) 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 1851364749.
Physician's Profile
| Full Name | Dr Hosamane S Prabhakara |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 300 East Hospital Road, Fort Gordon, Georgia |
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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: 1851364749
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042294175
- Enrollment ID: I20040616000744
Medical Identifiers
Medical identifiers for Dr Hosamane S Prabhakara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851364749 | NPI | - | NPPES |
| 00758458A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 042394 (Georgia) | Secondary |
| 207K00000X | Allergy & Immunology | 042394 (Georgia) | 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 Hosamane S Prabhakara allows following entities to bill medicare on his behalf.
| Entity Name | Asthma Allergy And Immunology Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154080786
PECOS PAC ID: 3072991140
Enrollment ID: O20220601001500 |
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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 Hosamane S Prabhakara 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 |
|---|
Dr Hosamane S Prabhakara, MD
756 Peninsula Overlook,
Hampton, GA 30228-6062
Ph: (229) 869-0756 | Dr Hosamane S Prabhakara, MD
300 East Hospital Road, Eishenhower Medical Ctr,
Fort Gordon, GA 30905-5650
Ph: (706) 787-9123 |
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