| Prakash V Reddy, MD | |
|
140 6th Ave, Indialantic, FL 32903-3204 | |
| (321) 312-3501 | |
| (321) 723-9176 |
| Full Name | Prakash V Reddy |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 31 Years |
| Location | 140 6th Ave, Indialantic, Florida |
| 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 |
|---|---|---|---|
| 1528043163 | NPI | - | NPPES |
| 272481200 | Medicaid | FL | |
| 64150X | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | ME83944 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash V Reddy, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: () - | Prakash V Reddy, MD 140 6th Ave, Indialantic, FL 32903-3204 Ph: (321) 312-3501 |
Myo Naing, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3320 Poseidon Way, Indialantic, FL 32903 Phone: 207-263-5788 | |
Matthew Scott Donnan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 N Highway A1a Ste 147, Indialantic, FL 32903 Phone: 321-574-9084 | |
Dr. Robert Charles Ufferman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 663 Franklyn Ave, Indialantic, FL 32903 Phone: 321-727-1109 | |
Carrie Alison Teagan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2368 N Riverside Dr, Indialantic, FL 32903 Phone: 321-543-8778 | |
Jayadevan Kundumadathil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 5th Ave, Indialantic, FL 32903 Phone: 321-473-8974 Fax: 321-473-8976 |