Praveen Datar, - Medicare Pulmonary Disease in West Plains, MO

Praveen Datar, is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in West Plains, Missouri. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Ozarks Medical Center and his current practice location is 1100 N Kentucky Ave, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 256-9111.

Praveen Datar is licensed to practice in Missouri (license number 2020004210) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053734657.

Contact Information

Praveen Datar,
1100 N Kentucky Ave,
West Plains, MO 65775-2029
(417) 256-9111
Not Available



Physician's Profile

Full NamePraveen Datar
GenderMale
SpecialityPulmonary Disease
Experience17 Years
Location1100 N Kentucky Ave, West Plains, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Praveen Datar graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1053734657
  • Provider Enumeration Date: 02/03/2014
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062839897
  • Enrollment ID: I20200825003075

Medical Identifiers

Medical identifiers for Praveen Datar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053734657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 2020004210 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ozarks Medical CenterWest plains, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ozarks Medical Center3870491863142

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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. Praveen Datar allows following entities to bill medicare on his behalf.
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035

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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. Praveen Datar 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
Praveen Datar,
Po Box 1100,
West Plains, MO 65775-1100

Ph: (417) 256-9111
Praveen Datar,
1100 N Kentucky Ave,
West Plains, MO 65775-2029

Ph: (417) 256-9111

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Internal Medicine Doctors in West Plains, MO

Dr. Sathish Kumar Itikyala, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Independence Sq, West Plains, MO 65775
Phone: 484-431-2045    
Dr. Carrie Leann Finke, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1137 Independence Dr, West Plains, MO 65775
Phone: 417-255-8464    Fax: 417-255-9741
Dr. Frank C. Eddleman, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1801 E State Route K, West Plains, MO 65775
Phone: 417-257-2454    
Kevin E Crowe, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775
Phone: 417-257-9111    
Alan D Troy, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1115 Alaska St, West Plains, MO 65775
Phone: 417-257-5950    
Muhammad Javed Ashraf, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775
Phone: 417-505-7836    

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