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

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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 NameDr Prasad Polisetty
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location1735 W State Of Franklin Rd Ste 5, Johnson City, Tennessee
Accepts Medicare AssignmentsMay 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.
IdentifierTypeStateIssuer
1376711291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301090287 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Raleigh General HospitalBeckley, WVHospital
Princeton Community Hospital Assn IncPrinceton, WVHospital
Beckley Arh HospitalBeckley, WVHospital
Carilion Roanoke Memorial HospitalRoanoke, VAHospital
Charleston Area Medical CenterCharleston, WVHospital
Encompass Health Rehab Hospital Of PrincetonPrinceton, WVInpatient rehabilitation facility

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 NamePrasad Polisetty MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. Charles Famoyin, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 302 Wesley St Ste 3, Johnson City, TN 37601
Phone: 423-202-3772    Fax: 423-202-3445
Dr. Tariq Z 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
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    
Michael Z Pearson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy, Ste. 280, Johnson City, TN 37604
Phone: 423-794-5550    Fax: 423-794-1829
Mitchell Deshazer,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 400 N State Of Franklin Rd, Room 2746, Johnson City, TN 37604
Phone: 423-431-2727    Fax: 423-431-6715

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.