Pradyumna Agasthi, MBBS in Muskogee, OK - Medicare Internal Medicine

Pradyumna Agasthi, MBBS is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Muskogee, Oklahoma. His current practice location is 341 S 33rd St, Muskogee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 683-1831.

Pradyumna Agasthi is licensed to practice in North Dakota (license number 20044) 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 1184034134.

Contact Information

	Pradyumna Agasthi, MBBS
	341 S 33rd St, Muskogee, OK 74401-5037
	(918) 683-1831
	(918) 687-7043

Map and Direction

Physician's Profile

Full Name	Pradyumna Agasthi
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	341 S 33rd St, Muskogee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184034134
Provider Enumeration Date: 04/30/2014
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 5395014450
Enrollment ID: I20240207002649

Medical Identifiers

Medical identifiers for Pradyumna Agasthi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184034134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0002X	Internal Medicine - Adult Congenital Heart Disease	44552 (Oklahoma)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	44552 (Oklahoma)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	20044 (North Dakota)	Primary

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. Pradyumna Agasthi allows following entities to bill medicare on his behalf.

Entity Name	Sanford Bismarck
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20040127001084

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. Pradyumna Agasthi 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
Pradyumna Agasthi, MBBS 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361 Ph: () -	Pradyumna Agasthi, MBBS 341 S 33rd St, Muskogee, OK 74401-5037 Ph: (918) 683-1831

Reviews and Comments

Internal Medicine Doctors in Muskogee, OK

Satish Kohli, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3340 W Okmulgee St, Muskogee, OK 74401 Phone: 918-687-6002 Fax: 918-687-6216
Dr. Ken Kuykendall, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 333 S 38th St, Muskogee, OK 74401 Phone: 918-682-8631 Fax: 918-682-2280
Dr. Sang Gang Lee, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 918-687-3994 Fax: 918-687-1809
Dr. Ravikumar Vasireddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 301 N. 32nd St., Muskogee, OK 74401 Phone: 918-683-2000 Fax: 918-686-0554
Dr. Naga Manohar Javvaji, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 333 S 38th St, Suite A, Muskogee, OK 74401 Phone: 918-682-8631
Dr. Adel George Kyrollos, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Ccom Medical Group, Inc., 350 S. 40th Street, Muskogee, OK 74401 Phone: 918-683-0753
Mrs. Leslie Ann Eddleman, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1328 S York St, Muskogee, OK 74403 Phone: 918-683-0470 Fax: 918-683-0475

Pradyumna Agasthi, MBBS - Medicare Internal Medicine in Muskogee, OK