Dr Jay R Prakash, MD - Medicare Internal Medicine in Riverdale, GA

Dr Jay R Prakash, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Riverdale, Georgia. His current practice location is 6555 Professional Pl, Suite C, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 996-5959.

Dr Jay R Prakash is licensed to practice in Georgia (license number 025986) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003846635.

Contact Information

Dr Jay R Prakash, MD
6555 Professional Pl, Suite C,
Riverdale, GA 30274-2519
(770) 996-5959
(770) 991-1596



Physician's Profile

Full NameDr Jay R Prakash
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location6555 Professional Pl, Riverdale, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003846635
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587761804
  • Enrollment ID: I20080530000551

Medical Identifiers

Medical identifiers for Dr Jay R Prakash such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003846635NPI-NPPES
00292322AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 025986 (Georgia)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. Dr Jay R Prakash allows following entities to bill medicare on his behalf.
Entity NameSouthern Gastroenterology Specialists, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952405052
PECOS PAC ID: 3577500214
Enrollment ID: O20050413001069

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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. Dr Jay R Prakash 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 AddressPractice Location Address
Dr Jay R Prakash, MD
6555 Professional Pl, Suite C,
Riverdale, GA 30274-2519

Ph: (770) 996-5959
Dr Jay R Prakash, MD
6555 Professional Pl, Suite C,
Riverdale, GA 30274-2519

Ph: (770) 996-5959

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Internal Medicine Doctors in Riverdale, GA

Dr. Hymavati Mikkilineni, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 483 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274
Phone: 770-994-0242    Fax: 770-994-4386
Paul L Harvey, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274
Phone: 770-996-9400    Fax: 770-991-2918
Dr. Isaac V Joseph, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 6555 Professional Pl, Suite D, Riverdale, GA 30274
Phone: 770-994-7700    Fax: 770-997-8399
Dr. Eloy Edilberto Diaz Sr., M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6572 River Park Dr Ste 102, Riverdale, GA 30274
Phone: 770-629-2296    
Rajinikanth Seshan, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 253 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274
Phone: 216-533-8842    
Dr. Victor Ezinna Okeh, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274
Phone: 770-742-3883    Fax: 855-597-8504

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