Pallavi Reddy Muddasani Bhasyam, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lapel, Indiana. Her current practice location is
299 E Pendleton Ave # 547, Lapel, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 534-3636.
Pallavi Reddy Muddasani Bhasyam is licensed to practice in Indiana (license number 71013615A) 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 1902503261.
Provider's Profile
| Full Name | Pallavi Reddy Muddasani Bhasyam |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 299 E Pendleton Ave # 547, Lapel, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902503261
- Provider Enumeration Date: 02/07/2023
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901279132
- Enrollment ID: I20230308002090
Medical Identifiers
Medical identifiers for Pallavi Reddy Muddasani Bhasyam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902503261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71013615A (Indiana) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 28254959A (Indiana) | Secondary |
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. Pallavi Reddy Muddasani Bhasyam allows following entities to bill medicare on her behalf.
| Entity Name | Wright Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437573664
PECOS PAC ID: 5496988602
Enrollment ID: O20140423001737 |
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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. Pallavi Reddy Muddasani Bhasyam 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 |
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Pallavi Reddy Muddasani Bhasyam, FNP
12286 Whispering Breeze Dr,
Fishers, IN 46037-4452
Ph: (765) 609-0506 | Pallavi Reddy Muddasani Bhasyam, FNP
299 E Pendleton Ave # 547,
Lapel, IN 46051-5546
Ph: (765) 534-3636 |
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