Koteswari Kancha, MD - Medicare Nephrology in Jacksonville, FL

Koteswari Kancha, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Jacksonville, Florida. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Mk Acharya Md Pa And Pm Reddy Md and her current practice location is 13241 Bartram Park Blvd Unit 409, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 400-6800.

Koteswari Kancha is licensed to practice in Florida (license number 98954) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407937170.

Contact Information

Koteswari Kancha, MD
13241 Bartram Park Blvd Unit 409,
Jacksonville, FL 32258-5237
(904) 400-6800
(904) 400-6801

Map and Direction




Physician's Profile

Full NameKoteswari Kancha
GenderFemale
SpecialityNephrology
Experience34 Years
Location13241 Bartram Park Blvd Unit 409, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Koteswari Kancha graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1407937170
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 12/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214980283
  • Enrollment ID: I20080711000089

Medical Identifiers

Medical identifiers for Koteswari Kancha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407937170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 98954 (Florida)Secondary
207RN0300XInternal Medicine - Nephrology 98954 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jacksonville South Dialysis CenterJacksonville, FLDialysis facility
Memorial Plaza DialysisJacksonville, FLDialysis facility
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mk Acharya Md Pa And Pm Reddy Md701298135051

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Koteswari Kancha allows following entities to bill medicare on her behalf.
Entity NameMk Acharya Md Pa & Pm Reddy Md
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780684795
PECOS PAC ID: 7012981350
Enrollment ID: O20040823001373
Entity NameJacksonville Kidney Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255647491
PECOS PAC ID: 7012105745
Enrollment ID: O20101222000718
Entity NameMetro Infectious Disease Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20160725002739

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Koteswari Kancha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.