Dr Prasad Srinivasan, MD is a medicare enrolled "Allergy & Immunology" physician in Glastonbury, Connecticut. His current practice location is
622 Hebron Ave Ste 104b, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 659-8904.
Dr Prasad Srinivasan is licensed to practice in Connecticut (license number 022206) 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 1740253517.
Physician's Profile
| Full Name | Dr Prasad Srinivasan |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 622 Hebron Ave Ste 104b, Glastonbury, Connecticut |
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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: 1740253517
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042403172
- Enrollment ID: I20101111000092
Medical Identifiers
Medical identifiers for Dr Prasad Srinivasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740253517 | NPI | - | NPPES |
| 030000070 | Other | CT | MEDICARE ID |
| 001222066 | Medicaid | CT | |
| C00280 | Other | CT | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 022206 (Connecticut) | Secondary |
| 207K00000X | Allergy & Immunology | 022206 (Connecticut) | Primary |
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 Srinivasan 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 Srinivasan, MD
622 Hebron Ave Ste 104b,
Glastonbury, CT 06033-5003
Ph: (860) 659-8904 | Dr Prasad Srinivasan, MD
622 Hebron Ave Ste 104b,
Glastonbury, CT 06033-5003
Ph: (860) 659-8904 |
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