Sanjana Prabhu, in Concord, NC - Medicare Pediatrics

Sanjana Prabhu, is a medicare enrolled "Pediatrics" physician in Concord, North Carolina. Her current practice location is 1085 Ne Gateway Ct Ne Ste 290, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-4650.

Sanjana Prabhu is licensed to practice in North Carolina (license number 2024-02039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124604616.

Contact Information

	Sanjana Prabhu,
	1085 Ne Gateway Ct Ne Ste 290, Concord, NC 28025-2412
	(704) 403-4650
	Not Available

Map and Direction

Physician's Profile

Full Name	Sanjana Prabhu
Gender	Female
Speciality	Pediatrics
Location	1085 Ne Gateway Ct Ne Ste 290, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124604616
Provider Enumeration Date: 03/23/2021
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4789119025
Enrollment ID: I20241125000472

Medical Identifiers

Medical identifiers for Sanjana Prabhu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124604616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2024-02039 (North Carolina)	Primary

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. Sanjana Prabhu allows following entities to bill medicare on her behalf.

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Sanjana Prabhu 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
Sanjana Prabhu, Po Box 602344, Charlotte, NC 28260-2344 Ph: (704) 403-4650	Sanjana Prabhu, 1085 Ne Gateway Ct Ne Ste 290, Concord, NC 28025-2412 Ph: (704) 403-4650

Reviews and Comments

Pediatrics Doctors in Concord, NC

Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660

Sanjana Prabhu, - Medicare Pediatrics in Concord, NC