| Prakash Sarvepalli, MD | |
|
1021 E. Main Street, Edmore, MI 48829-9737 | |
| (989) 427-5320 | |
| (989) 427-8220 |
| Full Name | Prakash Sarvepalli |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1021 E. Main Street, Edmore, Michigan |
| 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 |
|---|---|---|---|
| 1669411310 | NPI | - | NPPES |
| 1105900141 | Other | MI | BCBSM |
| 4482015 | Other | MI | MOLINA |
| 4482015-10 | Medicaid | MI | |
| 0983229 | Other | MI | HEALTHPLUS COMMERCIAL |
| 200000005866 | Other | MI | PHP COMMERCIAL |
| 1007287 | Other | MI | MCLAREN |
| 4606201-10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301071121 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Home Health Care And Hospice | Bay city, MI | Hospice |
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center-gratiot | Alma, MI | Hospital |
| Spectrum Health United Hospital | Greenville, MI | Hospital |
| Sheridan Community Hospital | Sheridan, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Michigan Masonic Home | Alma, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Medical Associates, Pc | 5597746024 | 5 |
| Michigan Masonic Home | 8628963311 | 2 |
| Entity Name | Great Lakes Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811094295 PECOS PAC ID: 5597746024 Enrollment ID: O20040528000954 |
| Entity Name | Michigan Masonic Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285465633 PECOS PAC ID: 8628963311 Enrollment ID: O20241122000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash Sarvepalli, MD 1021 E. Main Street, Edmore, MI 48829-9737 Ph: (989) 427-5320 | Prakash Sarvepalli, MD 1021 E. Main Street, Edmore, MI 48829-9737 Ph: (989) 427-5320 |