Dr Prasad Medepalli, is a medicare enrolled "Internal Medicine" physician in Fairlawn, New Jersey. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice County Of Essex and his current practice location is
15-01 Broadway (suite), Suite 38, Fairlawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 791-9241.
Dr Prasad Medepalli is licensed to practice in New Jersey (license number 30507) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912941691.
Physician's Profile
| Full Name | Dr Prasad Medepalli |
|---|
| Gender | Male |
|---|
| Speciality | Cardiovascular Disease (cardiology) |
|---|
| Experience | 55 Years |
|---|
| Location | 15-01 Broadway (suite), Fairlawn, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Prasad Medepalli graduated from medical school in 1971
NPI Data:
- NPI Number: 1912941691
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032142971
- Enrollment ID: I20050913000062
Medical Identifiers
Medical identifiers for Dr Prasad Medepalli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912941691 | NPI | - | NPPES |
| 2984300 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 30507 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Essex | 7214837061 | 10 |
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 Prasad Medepalli allows following entities to bill medicare on his behalf.
| Entity Name | County Of Essex |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922056118
PECOS PAC ID: 7214837061
Enrollment ID: O20040109000480 |
|---|
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 Prasad Medepalli 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 Prasad Medepalli,
15-01 Broadway (suite),
Fairlawn, NJ 07410
Ph: (201) 791-9241 | Dr Prasad Medepalli,
15-01 Broadway (suite), Suite 38,
Fairlawn, NJ 07410
Ph: (201) 791-9241 |
Reviews and Comments