Dr Pradeep D Marballi, MD | |
8 Northampton, St Marys Hospital Childrens Mental Health Clinic, Amsterdam, NY 12010 | |
(518) 843-7520 | |
(518) 843-7537 |
Full Name | Dr Pradeep D Marballi |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 8 Northampton, Amsterdam, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760557797 | NPI | - | NPPES |
02605356 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 178739 (New York) | Primary |
Entity Name | Behavioral Health Management Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
Entity Name | Winter Haven Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477599975 PECOS PAC ID: 4789578972 Enrollment ID: O20040210000095 |
Entity Name | Baycare Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131 |
Entity Name | Baycare Behavioral Health Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245502152 PECOS PAC ID: 2567624836 Enrollment ID: O20120502000477 |
Mailing Address | Practice Location Address |
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Dr Pradeep D Marballi, MD 427 Guy Park Avenue, St Marys Hospital Behavioral Health, Amsterdam, NY 12010 Ph: (518) 843-7520 | Dr Pradeep D Marballi, MD 8 Northampton, St Marys Hospital Childrens Mental Health Clinic, Amsterdam, NY 12010 Ph: (518) 843-7520 |
Dr. Venkateshwar Rao Vemuganti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 427 Guy Park Avenue, Amsterdam, NY 12010 Phone: 518-841-7354 Fax: 518-841-7344 | |
Dr. Jamshaid A Minhas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4988 State Highway 30, Amsterdam Memorial Suite 201, Amsterdam, NY 12010 Phone: 518-428-5119 | |
Dr. Nagaraj Onkarappa Jajoor, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 427 Guy Park Avenue, St Marys Hospital Behavioral Health, Amsterdam, NY 12010 Phone: 518-841-7341 Fax: 518-841-7344 | |
Dr. Jacqueline Villacorta Pasco, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 427 Guy Park Ave., St Marys Healthcare- Behavioral Health, Amsterdam, NY 12010 Phone: 518-841-7360 Fax: 518-841-7344 | |
Matthew Clyde Lynch, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4104 State Highway 30, Amsterdam, NY 12010 Phone: 518-883-6339 Fax: 518-883-5691 | |
Oommen P Ninan, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2415 Riverfront Center, Amsterdam, NY 12010 Phone: 518-842-0500 Fax: 518-842-6971 |