Dr Kalyanchakravarthi Mallela, MD | |
3231 Mcmullen Booth Rd Fl 1, Safety Harbor, FL 34695-6607 | |
(727) 725-6905 | |
(727) 266-4931 |
Full Name | Dr Kalyanchakravarthi Mallela |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 20 Years |
Location | 3231 Mcmullen Booth Rd Fl 1, Safety Harbor, 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 |
---|---|---|---|
1144596495 | NPI | - | NPPES |
016559800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT200775 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | ME124997 (Florida) | Secondary |
208M00000X | Hospitalist | ME124997 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
Morton Plant North Bay Hospital | New port richey, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Medical Group, Inc. | 6406753623 | 1010 |
Entity Name | Baycare Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Mailing Address | Practice Location Address |
---|---|
Dr Kalyanchakravarthi Mallela, MD 3231 Mcmullen Booth Rd Fl 1, Safety Harbor, FL 34695-6607 Ph: (727) 725-6905 | Dr Kalyanchakravarthi Mallela, MD 3231 Mcmullen Booth Rd Fl 1, Safety Harbor, FL 34695-6607 Ph: (727) 725-6905 |
Dr. Calvin C. Briles, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6526 Fax: 727-266-4931 | |
Dr. Mona Prabhu, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6526 Fax: 727-266-4931 | |
Dr. Tai A Huynh, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6526 Fax: 727-266-4931 |