Praveen Datar, MD in West Plains, MO - Medicare Pulmonary Disease

Praveen Datar, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in West Plains, Missouri. He graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Mercy Clinic Pulmonology - St. Louis, Llc, Mercy Clinic Adult Critical Care, Llc and his current practice location is 1100 N Kentucky Ave, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 256-9111.

Praveen Datar is licensed to practice in Missouri (license number 2020004210) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053734657.

Contact Information

	Praveen Datar, MD
	1100 N Kentucky Ave, West Plains, MO 65775-2029
	(417) 256-9111
	Not Available

Map and Direction

Physician's Profile

Full Name	Praveen Datar
Gender	Male
Speciality	Pulmonary Disease
Experience	18 Years
Location	1100 N Kentucky Ave, West Plains, 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.

Medical Education and Training:

Praveen Datar graduated from medical school in 2007

NPI Data:

NPI Number: 1053734657
Provider Enumeration Date: 02/03/2014
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 2062839897
Enrollment ID: I20200825003075

Medical Identifiers

Medical identifiers for Praveen Datar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053734657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	2020004210 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Jefferson	Festus, MO	Hospital
Mercy Hospital South	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Pulmonology - St. Louis, Llc	2365599925	21
Mercy Clinic Adult Critical Care, Llc	3779512041	52

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. Praveen Datar allows following entities to bill medicare on his behalf.

Entity Name	Ozarks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035

Entity Name	Mercy Clinic Adult Critical Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730119421 PECOS PAC ID: 3779512041 Enrollment ID: O20050808000024

Entity Name	Mercy Clinic Pulmonology - St. Louis, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821137886 PECOS PAC ID: 2365599925 Enrollment ID: O20090416000577

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. Praveen Datar 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
Praveen Datar, MD Po Box 1100, West Plains, MO 65775-1100 Ph: (417) 256-9111	Praveen Datar, MD 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111

Reviews and Comments

Internal Medicine Doctors in West Plains, MO

Dr. Sathish Kumar Itikyala, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111
Dr. Carrie Leann Finke, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 Fax: 417-255-9741
Dr. Frank C. Eddleman, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1801 E State Route K, West Plains, MO 65775 Phone: 417-257-2454
Kevin E Crowe, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111
Alan D Troy, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1115 Alaska St, West Plains, MO 65775 Phone: 417-257-5950
Muhammad Javed Ashraf, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-505-7836

Praveen Datar, MD - Medicare Pulmonary Disease in West Plains, MO