Praveen Rajanahalli, MD - Medicare General Practice in Greenwood, IN

Praveen Rajanahalli, MD is a medicare enrolled "General Practice" physician in Greenwood, Indiana. His current practice location is 701 E County Line Rd Ste 210, Greenwood, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 300-7424.

Praveen Rajanahalli is licensed to practice in Indiana (license number 01067143A) 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 1497925572.

Contact Information

Praveen Rajanahalli, MD
701 E County Line Rd Ste 210,
Greenwood, IN 46143
(317) 300-7424
(317) 300-7976



Physician's Profile

Full NamePraveen Rajanahalli
GenderMale
SpecialityGeneral Practice
Location701 E County Line Rd Ste 210, Greenwood, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497925572
  • Provider Enumeration Date: 03/05/2008
  • Last Update Date: 04/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365636669
  • Enrollment ID: I20101101000480

Medical Identifiers

Medical identifiers for Praveen Rajanahalli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497925572NPI-NPPES
200961530MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 11013162A (Indiana)Secondary
208D00000XGeneral Practice 01067143A (Indiana)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. Praveen Rajanahalli allows following entities to bill medicare on his behalf.
Entity NameAltus Direct, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750829230
PECOS PAC ID: 8921383605
Enrollment ID: O20170320001957

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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 Rajanahalli 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 Rajanahalli, MD
701 E County Line Rd Ste 210,
Greenwood, IN 46143-1071

Ph: (317) 300-7424
Praveen Rajanahalli, MD
701 E County Line Rd Ste 210,
Greenwood, IN 46143

Ph: (317) 300-7424

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General Practice Doctors in Greenwood, IN


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