Dr Shiva Lakshmin, MD | |
3625 University Blvd S, Emergency Department, Jacksonville, FL 32216-4207 | |
(904) 346-3606 | |
(904) 346-0113 |
Full Name | Dr Shiva Lakshmin |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 3625 University Blvd S, 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 |
---|---|---|---|
1851379184 | NPI | - | NPPES |
29197 | Other | FL | BCBS |
P00252893 | Other | FL | RRMCR |
05108548 | Medicaid | MS | |
1594881 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0093772 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Patients First Lake Ella Medical Center P A | 4082760566 | 23 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Patients First Lake Ella Medical Center P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578 |
Mailing Address | Practice Location Address |
---|---|
Dr Shiva Lakshmin, MD Po Box 860554, Orlando, FL 32886-0554 Ph: (904) 346-3606 | Dr Shiva Lakshmin, MD 3625 University Blvd S, Emergency Department, Jacksonville, FL 32216-4207 Ph: (904) 346-3606 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |