| Pradeep Reddy Tatagari, | |
|
701 Hawk Wood Ln, Prosper, TX 75078-2001 | |
| (270) 996-7254 | |
| (469) 526-5628 |
| Full Name | Pradeep Reddy Tatagari |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 23 Years |
| Location | 701 Hawk Wood Ln, Prosper, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467614610 | NPI | - | NPPES |
| 100018189 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 55717 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R7609 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Pradeep Reddy Tatagari, 701 Hawk Wood Ln, Prosper, TX 75078-2001 Ph: (469) 526-3474 | Pradeep Reddy Tatagari, 701 Hawk Wood Ln, Prosper, TX 75078-2001 Ph: (270) 996-7254 |
Brittney Pryor Craig, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4200 W University Dr Fl 3, Prosper, TX 75078 Phone: 682-303-4200 | |
Sharlaw Bhargava, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 831 Amistad Dr, Prosper, TX 75078 Phone: 214-727-8187 Fax: 972-347-5450 | |
Junaid Siddiq Kalia, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1740 Lonesome Dove Dr, Prosper, TX 75078 Phone: 469-954-0346 Fax: 469-954-0346 | |
Damian Campbell, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 | |
Trisha Modi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 N Preston Rd Ste 333, Prosper, TX 75078 Phone: 469-298-8656 |