Dr Prasad Polisetty, MD in Johnson City, TN - Medicare Internal Medicine

Dr Prasad Polisetty, MD is a medicare enrolled "Internal Medicine" physician in Johnson City, Tennessee. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 1735 W State Of Franklin Rd Ste 5, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 646-1862.

Dr Prasad Polisetty is licensed to practice in Michigan (license number 4301090287) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376711291.

Contact Information

	Dr Prasad Polisetty, MD
	1735 W State Of Franklin Rd Ste 5, Johnson City, TN 37604-6586
	(423) 646-1862
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Prasad Polisetty
Gender	Male
Speciality	Internal Medicine
Experience	22 Years
Location	1735 W State Of Franklin Rd Ste 5, Johnson City, Tennessee
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Prasad Polisetty graduated from medical school in 2004

NPI Data:

NPI Number: 1376711291
Provider Enumeration Date: 02/13/2008
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 5799970398
Enrollment ID: I20101109000688

Medical Identifiers

Medical identifiers for Dr Prasad Polisetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376711291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301090287 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Raleigh General Hospital	Beckley, WV	Hospital
Princeton Community Hospital	Princeton, WV	Hospital
Beckley Arh Hospital	Beckley, WV	Hospital
Carilion Medical Center	Roanoke, VA	Hospital
Charleston Area Medical Center	Charleston, WV	Hospital

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 Polisetty allows following entities to bill medicare on his behalf.

Entity Name	Peachtree Inpatient Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003059247 PECOS PAC ID: 6709937881 Enrollment ID: O20090731000441

Entity Name	Prasad Polisetty Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649995382 PECOS PAC ID: 9335517663 Enrollment ID: O20221117002494

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 Polisetty 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 Polisetty, MD Po Box 791825, Baltimore, MD 21279-1825 Ph: (248) 633-4262	Dr Prasad Polisetty, MD 1735 W State Of Franklin Rd Ste 5, Johnson City, TN 37604-6586 Ph: (423) 646-1862

Reviews and Comments

Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353
Jonathan P Moorman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-930-8337

Dr Prasad Polisetty, MD - Medicare Internal Medicine in Johnson City, TN