| Prasanna Manjini Sengodan, | |
|
1513 Union Ave Ste 2700, Moberly, MO 65270-9404 | |
| (660) 263-0524 | |
| (660) 372-6407 |
| Full Name | Prasanna Manjini Sengodan |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 16 Years |
| Location | 1513 Union Ave Ste 2700, Moberly, Missouri |
| 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 |
|---|---|---|---|
| 1538561006 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Vidant Edgecombe Hospital | Tarboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina University | 0244143246 | 444 |
| Vidant Medical Group Llc | 0345343893 | 847 |
| Outer Banks Professional Services, Llc | 3173652096 | 120 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Prasanna Manjini Sengodan, 1515 Union Ave, Moberly, MO 65270-9407 Ph: (660) 263-0524 | Prasanna Manjini Sengodan, 1513 Union Ave Ste 2700, Moberly, MO 65270-9404 Ph: (660) 263-0524 |
Jessica Winn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1513 Union Ave Ste 1500, Moberly, MO 65270 Phone: 660-263-0524 Fax: 660-263-0524 | |
Dr. Catherine M Monti, MD, MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1517 Union Ave, Suite D, Moberly, MO 65270 Phone: 660-263-1400 Fax: 660-263-1535 | |
Housam Soukieh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1513 Union Ave, Suite 1600, Moberly, MO 65270 Phone: 660-263-2400 Fax: 660-263-5610 | |
Dr. Sanjeev Dhari Ravipudi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2103 Silva Ln, Moberly, MO 65270 Phone: 660-616-0022 | |
Dr. Justin Gary Lamonda, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1145 S Morley St, Moberly, MO 65270 Phone: 660-263-7062 | |
Syed Rashid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1529 Union Ave Ste A, Moberly, MO 65270 Phone: 660-269-8550 Fax: 660-269-8555 |