Individual ProviderPrakrati AcharyaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave, El Paso, TX 79905-2707(915) 215-5700PECOS EnrollmentBased on the most recent information from CMS, provider Prakrati Acharya 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 2 days ago.Profile DetailsProvider ID1053750018Provider TypeIndividualFull NameAcharya, PrakratiCredentialM.B.B.SGenderFemaleSole ProprietorNoEnumeration Date6/22/2013Last Updated8/18/2021Contact InformationPractice LocationPractice Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(915) 215-5700Fax(915) 215-8641Mailing LocationMailing Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(915) 215-5700Fax(915) 215-8641Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense24462MississippiCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseZSSS43MassachusettsCode207RN0300XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseS1965TexasProvider IdentifiersIDDescriptionIssuerID03321553DescriptionMedicaidIssuerUnlistedMississippi