Sushama Prasad, APRN is a medicare enrolled "Internal Medicine" in Philadelphia, Pennsylvania. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Jefferson Physicians Group Llc and her current practice location is
1331 E Wyoming Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 707-1622.
Sushama Prasad is licensed to practice in Pennsylvania (license number SP035304) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093254385.
Provider's Profile
| Full Name | Sushama Prasad |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1331 E Wyoming Ave, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sushama Prasad graduated from nursing school in 2016
NPI Data:
- NPI Number: 1093254385
- Provider Enumeration Date: 02/20/2017
- Last Update Date: 06/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931486115
- Enrollment ID: I20250221000017
Medical Identifiers
Medical identifiers for Sushama Prasad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093254385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN9262181 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 9262181 (Florida) | Secondary |
| 207R00000X | Internal Medicine | SP035304 (Pennsylvania) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | SP035304 (Pennsylvania) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 234569 (Louisiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| East Jefferson Physicians Group Llc | 4587660402 | 220 |
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. Sushama Prasad allows following entities to bill medicare on her behalf.
| Entity Name | East Jefferson Physicians Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922293372
PECOS PAC ID: 4587660402
Enrollment ID: O20090127000299 |
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| Entity Name | New Orleans Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396169678
PECOS PAC ID: 5294057824
Enrollment ID: O20141209002021 |
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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. Sushama Prasad 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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Sushama Prasad, APRN
6855 S Red Rd,
South Miami, FL 33143-3647
Ph: (786) 527-9810 | Sushama Prasad, APRN
1331 E Wyoming Ave,
Philadelphia, PA 19124-3808
Ph: (215) 707-1622 |
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