Jaya M Therattil, MD | |
3630 J Dewey Gray Cir, Augusta, GA 30909-1867 | |
(706) 855-6130 | |
(706) 855-6139 |
Full Name | Jaya M Therattil |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 35 Years |
Location | 3630 J Dewey Gray Cir, Augusta, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043285810 | NPI | - | NPPES |
000893802B | Medicaid | GA | |
000893802D | Medicaid | GA | |
G48731 | Medicaid | SC | |
000893802C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 048731 (Georgia) | Secondary |
207KA0200X | Allergy & Immunology - Allergy | 048731 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neighborhood Improvement Project Inc | 7315851078 | 50 |
Entity Name | Neighborhood Improvement Project Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665 |
Entity Name | Pulmonary Allergy & Sleep Center Of Augusta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871887513 PECOS PAC ID: 5991974529 Enrollment ID: O20110816000243 |
Mailing Address | Practice Location Address |
---|---|
Jaya M Therattil, MD 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 855-6130 | Jaya M Therattil, MD 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 Ph: (706) 855-6130 |
Kathleen Ruffing May, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bg 1019, Augusta, GA 30912 Phone: 706-721-4919 | |
Dr. Michael Carver Belcon, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-1450 Fax: 706-721-1402 | |
Mrs. Tesneem Kauser Chaudhary, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3685 Wheeler Rd, Suite 101, Augusta, GA 30909 Phone: 706-868-8555 Fax: 706-868-8022 | |
Dr. Richard Alan Bickel Jr., M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bg 1021, Augusta, GA 30912 Phone: 706-721-3531 Fax: 706-721-2527 | |
Heather Raborn, NP-C Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way Ste 5100, Augusta, GA 30901 Phone: 706-724-8611 Fax: 706-724-6202 | |
Robert B Rhoades, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1219 W Wheeler Pkwy, Augusta, GA 30909 Phone: 706-855-1520 | |
Dr. William Kennedy Dolen, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 707-721-2390 |