Jyoti Upadhyay, MD | |
5153 N 9th Ave Ste 4a, Pensacola, FL 32504-8785 | |
(850) 416-1525 | |
(850) 416-1524 |
Full Name | Jyoti Upadhyay |
---|---|
Gender | Female |
Speciality | Urology - Pediatric Urology |
Location | 5153 N 9th Ave Ste 4a, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003985235 | NPI | - | NPPES |
338953 | Other | VA | ANTHEM |
311610834 | Other | VA | TRICARE |
02278128 | Medicaid | NY | |
5908034 | Medicaid | NC | |
1003985235 | Medicaid | VA | |
10025466 | Other | VA | OPTIMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | ME156724 (Florida) | Primary |
Entity Name | Children's Surgical Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245248947 PECOS PAC ID: 0244288470 Enrollment ID: O20050315000329 |
Mailing Address | Practice Location Address |
---|---|
Jyoti Upadhyay, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Jyoti Upadhyay, MD 5153 N 9th Ave Ste 4a, Pensacola, FL 32504-8785 Ph: (850) 416-1525 |
Ashley B. King, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4724 N Davis Hwy, Pensacola, FL 32503 Phone: 850-696-4000 | |
Dr. Alexander Liu, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4724 N Davis Hwy, Pensacola, FL 32503 Phone: 850-696-4000 Fax: 850-434-2647 | |
Dr. Kevin Gerald Mahaffey, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6000 W Highway 98, Naval Hospital Urology, Pensacola, FL 32512 Phone: 850-505-6485 | |
Dr. Anthony L Doerr, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Urology Dept, Pensacola, FL 32514 Phone: 850-474-8398 Fax: 850-969-2962 | |
Dr. Ryan Keith Miyamoto, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1717 N E St, 430, Pensacola, FL 32501 Phone: 850-437-8711 | |
Robert A. Mevorach, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5153 N 9th Ave, Pensacola, FL 32504 Phone: 850-505-4700 |