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Primary Practice Address
1021 E. MAIN STREET
EDMORE, MI 48829-9737 US
PECOS Enrolled

Prakash SarvepallI

Internal Medicine Physician


Prakash SarvepallI

Overview

Prakash SarvepallI is a Internal Medicine Physician in the EDMORE area and has over 35 years of experience. Prakash SarvepallI primary office location is at 1021 E. MAIN STREET and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1989

Prakash SarvepallI is affiliated with ten hospitals in the EDMORE area, including . The NPI number is 1669411310 and the information was updated approximately 12 years ago.

Prakash SarvepallI is part of two medical groups, including GREAT LAKES MEDICAL ASSOCIATES, PC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1021 E. MAIN STREET
EDMORE, MI 48829-9737 US
Phone: (989)-427-5320
Fax:
Practice Mailing Information
1021 E. MAIN STREET
EDMORE, MI 48829-9737 US
Phone: (989)-427-5320
Fax: (989)-427-8220
License Number State
4301071121 MI
Type/Issuer IdentifierState
BCBSM 1105900141 MI
MOLINA 4482015 MI
MEDICAID 4482015-10 MI
HEALTHPLUS COMMERCIAL 0983229 MI
PHP COMMERCIAL 200000005866 MI
MCLAREN 1007287 MI
MEDICAID 4606201-10 MI

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20040601000976
PECOS Individual PAC ID: 6002897543
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes