| Dr Prasad N Policherla, | |
|
1400 E 2nd St, Defiance, OH 43512-2440 | |
| (419) 784-1414 | |
| Not Available |
| Full Name | Dr Prasad N Policherla |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 48 Years |
| Location | 1400 E 2nd St, Defiance, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619959665 | NPI | - | NPPES |
| 130020927 | Other | OH | RAILROAD |
| 2123473 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35065457 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Paulding County Hospital | Paulding, OH | Hospital |
| Henry County Hospital, Inc | Napoleon, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Partners Northern Region Specialty Care Llc | 9739585480 | 79 |
| Entity Name | Mercy Medical Partners Northern Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasad N Policherla, 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 | Dr Prasad N Policherla, 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 |
Edgardo O Cabatan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1283 Bearpaw Dr, Defiance, OH 43512 Phone: 419-782-1196 Fax: 419-885-0203 | |
Dr. Mohamed Omer Sharif, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 |