Dr Prashanth Reddy Rawla, MD - Medicare Hospitalist in Demorest, GA

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Dr Prashanth Reddy Rawla, MD is a medicare enrolled "Hospitalist" physician in Demorest, Georgia. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Mdcare Clinic Llc, Northeast Georgia Physicians Group Inc and his current practice location is 541 441 Historic Hwy N, Demorest, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 839-4000.

Dr Prashanth Reddy Rawla is licensed to practice in Georgia (license number 95112) 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 1942596077.

Contact Information

Dr Prashanth Reddy Rawla, MD
541 441 Historic Hwy N,
Demorest, GA 30535-4528
(706) 839-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Prashanth Reddy Rawla
GenderMale
SpecialityHospitalist
Experience21 Years
Location541 441 Historic Hwy N, Demorest, Georgia
Accepts Medicare AssignmentsYes. 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 Prashanth Reddy Rawla graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1942596077
  • Provider Enumeration Date: 06/27/2011
  • Last Update Date: 04/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729203914
  • Enrollment ID: I20241023003627

Medical Identifiers

Medical identifiers for Dr Prashanth Reddy Rawla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942596077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD-14659 (Iowa)Secondary
207R00000XInternal Medicine 0101257511 (Virginia)Secondary
208M00000XHospitalist ME136128 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist 95112 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Georgia Medical Center HabershamDemorest, GAHospital
Northeast Georgia Medical Center, IncGainesville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mdcare Clinic Llc46881080122
Northeast Georgia Physicians Group Inc6901898386884

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 Prashanth Reddy Rawla allows following entities to bill medicare on his behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameMdcare Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932947751
PECOS PAC ID: 4688108012
Enrollment ID: O20241107003342

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 Prashanth Reddy Rawla 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 Prashanth Reddy Rawla, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Dr Prashanth Reddy Rawla, MD
541 441 Historic Hwy N,
Demorest, GA 30535-4528

Ph: (706) 839-4000

Reviews and Comments


Hospitalist Doctors in Demorest, GA

Adam E Traill, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 541 441 Historic Hwy N, Demorest, GA 30535
Phone: 706-839-4000    
Edwin Enrique Villarreal, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 541 Historic Hwy 441-n, Demorest, GA 30535
Phone: 770-219-7078    Fax: 770-219-7365

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.