Dr Siva Suryadevara, MD | |
655 W 8th St, Acc, 5th Floor, Jacksonville, FL 32209 | |
(904) 244-2655 | |
(904) 244-5913 |
Full Name | Dr Siva Suryadevara |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 23 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 |
---|---|---|---|
1235283292 | NPI | - | NPPES |
008906600 | Medicaid | FL | |
003135084A | Medicaid | GA | |
14Q8K | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | ME116319 (Florida) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | ME 116319 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shands Jacksonville | Jacksonville, FL | Hospital |
Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
---|---|
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 |
---|---|
Dr Siva Suryadevara, MD Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 244-3065 | Dr Siva Suryadevara, MD 655 W 8th St, Acc, 5th Floor, Jacksonville, FL 32209 Ph: (904) 244-2655 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |