| Sanjay Prasad, MD | |
|
1253 N Alpine Rd, Rockford, IL 61107-2201 | |
| (779) 696-9201 | |
| (815) 397-9667 |
| Full Name | Sanjay Prasad |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 41 Years |
| Location | 1253 N Alpine Rd, Rockford, Illinois |
| 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 |
|---|---|---|---|
| 1437232139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | D43688 (Maryland) | Secondary |
| 207Y00000X | Otolaryngology | 036176815 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sidney Health Center | Sidney, MT | Hospital |
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanjay Prasad Md Pa | 6608064068 | 2 |
| Sanjay Prasad Md Pa | 6608064068 | 2 |
| Sidney Health Center | 0749181535 | 51 |
| Billings Clinic | 6002993516 | 685 |
| Entity Name | Sanjay Prasad Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023293354 PECOS PAC ID: 6608064068 Enrollment ID: O20141103001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Prasad, MD 10215 Fernwood Rd, Suite 301, Bethesda, MD 20817-1106 Ph: (301) 493-9409 | Sanjay Prasad, MD 1253 N Alpine Rd, Rockford, IL 61107-2201 Ph: (779) 696-9201 |
Simon A Holoubek, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 100&405, Rockford, IL 61104 Phone: 779-696-8700 | |
Dr. Terrence R Loughlin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 | |
Adam Soliman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 | |
Dr. Ronald V. Washak, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103 Phone: 815-971-2000 Fax: 815-971-9924 | |
Dr. Kurren Gill, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Mark L. Lundine, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 |