| Rajeev Prakash, MD | |
|
12221 N Mopac Expy, Austin, TX 78758-2401 | |
| (512) 901-4009 | |
| (512) 901-3909 |
| Full Name | Rajeev Prakash |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 27 Years |
| Location | 12221 N Mopac Expy, Austin, Texas |
| 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 |
|---|---|---|---|
| 1730170960 | NPI | - | NPPES |
| 185764101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024377 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | M4916 (Texas) | Secondary |
| 207R00000X | Internal Medicine | M4916 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Austin Medical Center | Austin, TX | Hospital |
| Val Verde Regional Medical Center | Del rio, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Austin Diagnostic Clinic, Pllc | 1254244551 | 87 |
| South Texas Hospitalist Associates Llc | 6608024633 | 14 |
| Entity Name | The Austin Diagnostic Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497729685 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
| Entity Name | South Texas Hospitalist Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790045664 PECOS PAC ID: 6608024633 Enrollment ID: O20120918000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajeev Prakash, MD 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 901-4009 | Rajeev Prakash, MD 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 901-4009 |
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |