Prasanna Kommu, in Revere, MA - Medicare Physical Therapist Provider

Prasanna Kommu, is a medicare enrolled "Physical Therapist" provider in Revere, Massachusetts. Her current practice location is 185 Squire Rd, Revere, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 284-0559.

Prasanna Kommu is licensed to practice in Virginia (license number 2305212542) 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 1861998734.

Contact Information

	Prasanna Kommu,
	185 Squire Rd, Revere, MA 02151-1234
	(781) 284-0559
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Prasanna Kommu
Gender	Female
Speciality	Physical Therapist
Location	185 Squire Rd, Revere, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861998734
Provider Enumeration Date: 04/01/2018
Last Update Date: 08/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3870977341
Enrollment ID: I20220901000503

Medical Identifiers

Medical identifiers for Prasanna Kommu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861998734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305212542 (Virginia)	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. Prasanna Kommu allows following entities to bill medicare on her behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20180906000725

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. Prasanna Kommu 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
Prasanna Kommu, 30 Parkside Pl, Malden, MA 02148-7869 Ph: () -	Prasanna Kommu, 185 Squire Rd, Revere, MA 02151-1234 Ph: (781) 284-0559

Reviews and Comments

Physical Therapist in Revere, MA

Cecilia Jiang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234
Dr. Joseph Michael Czupryna, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000
Shraddha Patel, PT, DPT, MPH Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Broadway, Revere, MA 02151 Phone: 781-816-0573
Shelby L Bell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234
Ms. Emily Wylene Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6222
Broadway Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 185 Squire Rd, Revere, MA 02151 Phone: 781-284-0559 Fax: 781-284-0698
Erin Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Broadway, Suite 205, Revere, MA 02151 Phone: 781-485-1001 Fax: 781-485-1003

Prasanna Kommu, - Medicare Physical Therapist in Revere, MA