Dr Kethandapatti Chakravarthy Balaji, MBBS | |
655 W 8th St, Jacksonville, FL 32209-6511 | |
(904) 383-1016 | |
Not Available |
Full Name | Dr Kethandapatti Chakravarthy Balaji |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 655 W 8th St, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558314484 | NPI | - | NPPES |
5915217 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2010-01458 (North Carolina) | Secondary |
208800000X | Urology | ME137242 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
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Dr Kethandapatti Chakravarthy Balaji, MBBS Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 383-1016 | Dr Kethandapatti Chakravarthy Balaji, MBBS 655 W 8th St, Jacksonville, FL 32209-6511 Ph: (904) 383-1016 |
Amanda Elizabeth Kahn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 | |
Gregory Broderick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |