| Sujithra Reprakash, PA-C | |
|
364 Torrence Ave, Calumet City, IL 60409-1902 | |
| (773) 233-4100 | |
| (708) 868-6910 |
| Full Name | Sujithra Reprakash |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 364 Torrence Ave, Calumet City, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699330811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.006364RX (Ohio) | Primary |
| 363AM0700X | Physician Assistant - Medical | 085006949 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dublin Methodist Hospital | Dublin, OH | Hospital |
| Grady Memorial Hospital | Delaware, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | 2769383785 | 487 |
| Ohiohealth Corporation | 6305758426 | 2295 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Entity Name | Carbon Health Medical Group of Florida PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295316602 PECOS PAC ID: 3274947304 Enrollment ID: O20210830002331 |
| Mailing Address | Practice Location Address |
|---|---|
| Sujithra Reprakash, PA-C Po Box 7527, Dublin, OH 43017-0727 Ph: Not Available | Sujithra Reprakash, PA-C 364 Torrence Ave, Calumet City, IL 60409-1902 Ph: (773) 233-4100 |
Ms. Kristin Victoria Hofer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Torrence Ave, Calumet City, IL 60409 Phone: 708-915-4961 |
Ms. Madonna Pauletta Lekas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Torrence Ave, Calumet City, IL 60409 Phone: 708-730-1300 |