Prakash S Beeraka, MD
Individual provider Active NPI Family Medicine Physician · Florence, SC
NPI 1124098868 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1124098868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30937 (SC)
- Practice address
- 101 South Ravenel Street
Suite 160
Florence, SC 29506-2610 - Phone
- (843) 662-1533
- Fax
- (843) 679-7273
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora South Carolina LLC
McLeod Physician Associates II
McLeod Regional Medical Center of the Pee Dee Inc
Practice addresses (Care Compare)
2724 W Palmetto St
Florence, SC 29501-4909
Phone (843) 292-1900
3013 A W Palmetto St
Florence, SC 29501-5935
3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
800 E Cheves St
Florence, SC 29506-2650
Hospital & facility affiliations
- Amedisys Home Health Care
- McLeod Home Health Inc
- Carolinas Home Health
- Centerwell Home Health-Pee Dee
- Pruitthealth Home Health-Florence
- McLeod Regional Medical Center-Pee Dee
- CCN 420117
- Musc Health Florence Medical Center
- The Palms At Florence
- Southland Health Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080902000313 | SC | Practitioner - Family Practice | 1951203868 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30937 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Family Medicine | Current |
Accepting new patients |
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc. | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 200
Florence, SC 29506
Phone (843) 662-1502
101 S Ravenel St
Ste 160
Florence, SC 29506
Phone (843) 662-1533
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
506 E Cheves St
#202
Florence, SC 29506
Interoperability endpoints
- pbeeraka19231@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30937 | SC | Yes |
Addresses
Primary practice location
101 South Ravenel Street
Suite 160
Florence, SC 29506-2610
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 662-1533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18500 | Other | SC | EVOLUTIONS |
| 7135571 | Other | SC | AETNA |
| 005 | Other | SC | BLUE CHOICE |
| 014 | Other | SC | TRICARE |
| 5909956 | Medicaid | NC | |
| 20078271 | Other | SC | SELECT HEALTH |
| 210717 | Other | SC | MEDCOST |
| 309370 | Medicaid | SC | |
| 2298624 | Other | SC | CIGNA |
| 005 | Other | SC | BSBC |
| 005 | Other | SC | BLUECHOICE |
| 246983 | Other | SC | UNISON |
| AA29248552 | Other | SC | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prakash.beeraka@mpaii.eclinicaldirectplus.com | Direct |
Other providers in Florence, SC
- Courtney Morris Beattie
- Beautiful Gate Christian Counseling, LLC
- David Earl Beck
- Nelda Beck
- Spears Beckham
- Before You Fall Behavioral and Mental Health Services, LLC
- Donald A Behling
- Edward Mellard Behling
- Bela Family Dentistry of Florence
- Believe in Faith
All providers in Florence, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.