Ms Nishitha Reddy Thumallapally, MD | |
121 Whitehall Dr, St Augustine, FL 32086-5266 | |
(904) 825-4500 | |
(907) 825-3672 |
Full Name | Ms Nishitha Reddy Thumallapally |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 12 Years |
Location | 121 Whitehall Dr, St Augustine, 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 |
---|---|---|---|
1548670946 | NPI | - | NPPES |
118147900 | Medicaid | FL | |
6UOLE | Other | FL | FL BLUE |
QU962 | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | ME159539 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagler Hospital | Saint augustine, FL | Hospital |
Conway Medical Center | Conway, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cancer Specialists Llc | 9133377948 | 47 |
Entity Name | Cancer Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454 |
Mailing Address | Practice Location Address |
---|---|
Ms Nishitha Reddy Thumallapally, MD 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113 | Ms Nishitha Reddy Thumallapally, MD 121 Whitehall Dr, St Augustine, FL 32086-5266 Ph: (904) 825-4500 |
Dr. Jesus Manuel Salas Noain, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 40 Groover Loop Ste 200, St Augustine, FL 32086 Phone: 904-398-7205 Fax: 904-823-9613 | |
Dr. Rosemarie L. Lim, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 228 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6266 Fax: 904-826-3244 | |
Dr. David Brett Goldberg, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Dr. Gaurav Trikha, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 121 Whitehall Dr, St Augustine, FL 32086 Phone: 904-825-4500 Fax: 904-825-3672 | |
Dr. Adey A A Hasan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 204 Southpark Cir E, St Augustine, FL 32086 Phone: 904-829-8300 Fax: 904-829-8310 | |
Bernard R Borbely, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 100 Whetstone Pl, Suite208, St Augustine, FL 32086 Phone: 904-819-6800 Fax: 904-819-6700 | |
Dr. Daniel J Gassert, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 216 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-6108 Fax: 904-823-9613 |