Dr Sudha G Prasad, MDCS is a medicare enrolled "Allergy & Immunology" physician in Springfield, Illinois. She graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Springfield Clinic Llp and her current practice location is
901 S Koke Mill Rd, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 528-7541.
Dr Sudha G Prasad is licensed to practice in Illinois (license number 036079578) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417120189.
Physician's Profile
| Full Name | Dr Sudha G Prasad |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 54 Years |
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| Location | 901 S Koke Mill Rd, Springfield, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sudha G Prasad graduated from medical school in 1970
NPI Data:
- NPI Number: 1417120189
- Provider Enumeration Date: 04/02/2008
- Last Update Date: 05/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648317503
- Enrollment ID: I20091026000219
Medical Identifiers
Medical identifiers for Dr Sudha G Prasad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417120189 | NPI | - | NPPES |
| 028472 | Other | IL | HEALTH ALLIANCE |
| D10632 | Other | IL | UPIN |
| 08405282 | Other | IL | BCBS |
| 131837 | Other | IL | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 036079578 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Clinic Llp | 0547166076 | 669 |
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 Sudha G Prasad allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Clinic Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826 |
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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 Sudha G Prasad 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 |
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Dr Sudha G Prasad, MDCS
1025 S 6th St,
Springfield, IL 62703-2403
Ph: (217) 528-7541 | Dr Sudha G Prasad, MDCS
901 S Koke Mill Rd,
Springfield, IL 62711-8012
Ph: (217) 528-7541 |
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