Prasad Polisetty MD PLLC - Medicare Primary Care in Princeton, WV

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Prasad Polisetty MD PLLC is a medicare enrolled primary clinic (Internal Medicine - Critical Care Medicine) in Princeton, West Virginia. The current practice location for Prasad Polisetty MD PLLC is 120 12th St, Princeton, West Virginia. For appointments, you can reach them via phone at (304) 487-8000. The mailing address for Prasad Polisetty MD PLLC is Po Box 791825, Baltimore, Maryland and phone number is (248) 633-4262.

Prasad Polisetty MD PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1649995382. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 487-8000.

Contact Information

Prasad Polisetty MD PLLC
120 12th St
Princeton
WV 24740
(304) 487-8000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePrasad Polisetty MD PLLC
SpecialityInternal Medicine
Location120 12th St, Princeton, West Virginia
Authorized Official Name and PositionSean Sherrill (BILLING ADMIN)
Authorized Official Contact4236461862
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prasad Polisetty MD PLLC
Po Box 791825
Baltimore
MD 21279-1825

Ph: (248) 633-4262		Prasad Polisetty MD PLLC
120 12th St
Princeton
WV 24740

Ph: (304) 487-8000

NPI Details:

NPI Number1649995382
Provider Enumeration Date10/05/2022
Last Update Date01/15/2026
Certification Date01/15/2026

Medicare PECOS Information:

Medicare PECOS PAC ID9335517663
Medicare Enrollment IDO20221117002494

Medical Identifiers

Medical identifiers for Prasad Polisetty MD PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649995382NPI-NPPES
1376711291MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0000XInternal Medicine - Adolescent Medicine ()Secondary
207RC0200XInternal Medicine - Critical Care Medicine ()Primary
283X00000XRehabilitation Hospital ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prasad Polisetty MD PLLC acts as a billing entity for following providers:
Provider NamePrasad Polisetty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376711291
PECOS PAC ID: 5799970398
Enrollment ID: I20101109000688

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.