Kunal Thakkar, MD is a medicare enrolled "Otolaryngology" physician in Jacksonville Beach, Florida. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
1560 Roberts Dr, Jacksonville Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 339-0350.
Kunal Thakkar is licensed to practice in Florida (license number ME104096) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306009139.
Physician's Profile
| Full Name | Kunal Thakkar |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 20 Years |
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| Location | 1560 Roberts Dr, Jacksonville Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kunal Thakkar attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2004
NPI Data:
- NPI Number: 1306009139
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 12/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4183775687
- Enrollment ID: I20090623000550
Medical Identifiers
Medical identifiers for Kunal Thakkar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306009139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | ME104096 (Florida) | Primary |
Medical Facilities Affiliation
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. Kunal Thakkar allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Ear, Nose, Throat Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861791402
PECOS PAC ID: 9638357791
Enrollment ID: O20110621000347 |
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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. Kunal Thakkar 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 Address | Practice Location Address |
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Kunal Thakkar, MD
1560 Roberts Dr,
Jacksonville Beach, FL 32250-3222
Ph: (904) 339-0350 | Kunal Thakkar, MD
1560 Roberts Dr,
Jacksonville Beach, FL 32250-3222
Ph: (904) 339-0350 |
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