Dr Prasanth Boyareddigari, MD - Medicare Emergency Medicine in Conroe, TX

Dr Prasanth Boyareddigari, MD is a medicare enrolled "Emergency Medicine" physician in Conroe, Texas. His current practice location is 504 Medical Center Blvd, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 539-1111.

Dr Prasanth Boyareddigari is licensed to practice in Texas (license number M1031) 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 1427010768.

Contact Information

Dr Prasanth Boyareddigari, MD
504 Medical Center Blvd,
Conroe, TX 77304-2808
(936) 539-1111
Not Available



Physician's Profile

Full NameDr Prasanth Boyareddigari
GenderMale
SpecialityEmergency Medicine
Location504 Medical Center Blvd, Conroe, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427010768
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 12/07/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244275733
  • Enrollment ID: I20050624000660

Medical Identifiers

Medical identifiers for Dr Prasanth Boyareddigari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427010768NPI-NPPES
8P5097OtherTXBCBSTX PIN
8S0397OtherTXBLUE SHIELD
P00234966OtherTXRR/MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine M1031 (Texas)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 Prasanth Boyareddigari allows following entities to bill medicare on his behalf.
Entity NameEmergigroup Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962456459
PECOS PAC ID: 0941283238
Enrollment ID: O20041004000857

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Entity NameKirby Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568699445
PECOS PAC ID: 7517010093
Enrollment ID: O20090730000543

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Entity NameWoodlands Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467989871
PECOS PAC ID: 7618245820
Enrollment ID: O20170612002580

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Entity NameMemorial Hermann Hospital Based Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295363497
PECOS PAC ID: 4385075480
Enrollment ID: O20200505001521

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Entity NameRound Table Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023439114
PECOS PAC ID: 0547682460
Enrollment ID: O20200623002513

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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 Prasanth Boyareddigari 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 Prasanth Boyareddigari, MD
6873 Staffordshire St,
Houston, TX 77030-4107

Ph: (713) 795-0939
Dr Prasanth Boyareddigari, MD
504 Medical Center Blvd,
Conroe, TX 77304-2808

Ph: (936) 539-1111

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› Verified 5 days ago


Emergency Medicine Doctors in Conroe, TX

Dr. John Eric Buck, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13265 Meadow Creek Ln, Conroe, TX 77302
Phone: 936-441-0674    
Dr. Peter William Harris, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 504 Medical Center Blvd, Conroe, TX 77304
Phone: 936-539-7044    
Timothy J O'brien, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 504 Medical Center Blvd, Conroe, TX 77304
Phone: 409-539-1111    Fax: 409-788-8044
Jason M Lebwohl, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 504 Medical Center Blvd, Conroe, TX 77304
Phone: 409-539-1111    Fax: 409-788-8044
Gerald B Cobb, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 504 Medical Center Blvd, Conroe, TX 77304
Phone: 409-539-1111    Fax: 409-788-8044
Pamela T Hammond, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 504 Medical Center Blvd, Conroe, TX 77304
Phone: 409-539-1111    Fax: 409-788-8044
Dr. Thomas J Patton Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Conroe Medical Dr, Conroe, TX 77304
Phone: 936-539-4004    Fax: 936-521-3964

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