Dr Prasad Venkata Devabhaktuni, MD - Medicare Internal Medicine in Fairmont, WV

Dr Prasad Venkata Devabhaktuni, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Fairmont, West Virginia. His current practice location is 14 E Grafton Rd, Suite C, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 363-7773.

Dr Prasad Venkata Devabhaktuni is licensed to practice in West Virginia (license number 15587) 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 1417027103.

Contact Information

Dr Prasad Venkata Devabhaktuni, MD
14 E Grafton Rd, Suite C,
Fairmont, WV 26554-4465
(304) 363-7773
(304) 363-7773



Physician's Profile

Full NameDr Prasad Venkata Devabhaktuni
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location14 E Grafton Rd, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417027103
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 09/25/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597780577
  • Enrollment ID: I20210308000152

Medical Identifiers

Medical identifiers for Dr Prasad Venkata Devabhaktuni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417027103NPI-NPPES
0009095000MedicaidWV
0071632000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 15587 (West Virginia)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 15587 (West Virginia)Primary

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 Prasad Venkata Devabhaktuni 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 Prasad Venkata Devabhaktuni, MD
14 E Grafton Rd, Suite C,
Fairmont, WV 26554-4465

Ph: (304) 363-7773
Dr Prasad Venkata Devabhaktuni, MD
14 E Grafton Rd, Suite C,
Fairmont, WV 26554-4465

Ph: (304) 363-7773

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Internal Medicine Doctors in Fairmont, WV

Dr. Mohammad Roidad, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1614 Locust Ave, Fairmont, WV 26554
Phone: 304-363-6659    Fax: 304-366-3464
Eugenio Aldea Menez, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1714 Locust Ave, Fairmont, WV 26554
Phone: 304-363-3714    Fax: 304-363-6850
Dr. Peter Lee Ang, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1377 Locust Ave, Fairmont, WV 26554
Phone: 304-366-3500    Fax: 304-366-7613
Bonnie Diep, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1377 Locust Ave, Fairmont, WV 26554
Phone: 304-363-3500    
Spencer Ollayos,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 045-347-8103    
Dr. Ryan Christopher Hall, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    Fax: 304-366-9529
Samer Kuzbari, M.D
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 70 Middletown Rd Ste 1000, Fairmont, WV 26554
Phone: 304-333-5111    Fax: 304-333-5114

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