| Prakul Chandra, MD | |
|
961 E Winthrope Ave, Millen, GA 30442-1839 | |
| (478) 982-0120 | |
| Not Available |
| Full Name | Prakul Chandra |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 961 E Winthrope Ave, Millen, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497911937 | NPI | - | NPPES |
| 003116286J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 066006 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Statesboro, GA | Home health agency |
| Pruitthealth Hospice-swainsboro | Swainsboro, GA | Hospice |
| Optim Medical Center - Screven | Sylvania, GA | Hospital |
| Jenkins County Medical Center | Millen, GA | Hospital |
| Piedmont Augusta Hospital | Augusta, GA | Hospital |
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Optim Medical Center - Screven | Sylvania, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Screven County Hospital Llc | 5496944712 | 2 |
| Jenkins County Hospital Llc | 0143419820 | 2 |
| Hospital Authority Of Jenkins County | 5193717833 | 4 |
| Entity Name | Tattnall Hospital Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790942381 PECOS PAC ID: 6204907124 Enrollment ID: O20080915000167 |
| Entity Name | Jenkins County Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497064679 PECOS PAC ID: 0143419820 Enrollment ID: O20110126000836 |
| Entity Name | Screven County Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225339898 PECOS PAC ID: 5496944712 Enrollment ID: O20110321000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Prakul Chandra, MD 440 Mall Blvd Ste C, Savannah, GA 31406-4868 Ph: (912) 644-3340 | Prakul Chandra, MD 961 E Winthrope Ave, Millen, GA 30442-1839 Ph: (478) 982-0120 |