Koteswari Kancha, MD | |
13241 Bartram Park Blvd Unit 409, Jacksonville, FL 32258-5237 | |
(904) 400-6800 | |
(904) 400-6801 |
Full Name | Koteswari Kancha |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 34 Years |
Location | 13241 Bartram Park Blvd Unit 409, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407937170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 98954 (Florida) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 98954 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jacksonville South Dialysis Center | Jacksonville, FL | Dialysis facility |
Memorial Plaza Dialysis | Jacksonville, FL | Dialysis facility |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mk Acharya Md Pa And Pm Reddy Md | 7012981350 | 51 |
Entity Name | Mk Acharya Md Pa & Pm Reddy Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780684795 PECOS PAC ID: 7012981350 Enrollment ID: O20040823001373 |
Entity Name | Jacksonville Kidney Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255647491 PECOS PAC ID: 7012105745 Enrollment ID: O20101222000718 |
Entity Name | Metro Infectious Disease Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20160725002739 |
Mailing Address | Practice Location Address |
---|---|
Koteswari Kancha, MD 13241 Bartram Park Blvd Unit 409, Jacksonville, FL 32258-5237 Ph: (904) 400-6800 | Koteswari Kancha, MD 13241 Bartram Park Blvd Unit 409, Jacksonville, FL 32258-5237 Ph: (904) 400-6800 |
Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Nephrology 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 Nephrology 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. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |