Individual ProviderSwati PrasadHospitalistAllopathic & Osteopathic PhysiciansPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205(904) 202-3860(904) 202-1032PECOS EnrollmentBased on the most recent information from CMS, provider Swati Prasad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1538471917Provider TypeIndividualFull NamePrasad, SwatiCredentialMD, MBBSGenderFemaleSole ProprietorNoEnumeration Date7/13/2010Last Updated1/6/2021Contact InformationPractice LocationPractice Address820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205Phone(904) 202-3860Fax(904) 202-3846Mailing LocationMailing AddressPO Box 45443, Salt Lake City, UT 84145-0443Phone(904) 202-1032Fax(904) 376-4107Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseME145565FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense56405MinnesotaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense073796GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense207R00000XNebraskaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME145565FloridaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense073796GeorgiaProvider IdentifiersIDDescriptionIssuerID1538471917DescriptionMedicaidIssuerUnlistedMichiganID1538471917DescriptionMedicaidIssuerUnlistedMinnesotaID1538471917DescriptionMedicaidIssuerUnlistedWisconsin