Sivanta J Paul, MD | |
6817 Southpoint Pkwy Ste 703, Jacksonville, FL 32216-6280 | |
(904) 279-1666 | |
(904) 279-1665 |
Full Name | Sivanta J Paul |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 51 Years |
Location | 6817 Southpoint Pkwy Ste 703, Jacksonville, 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 |
---|---|---|---|
1215978887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME56495 (Florida) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME56495 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Refresh Canopy Cove, Inc | 3779822119 | 97 |
Entity Name | Refresh Canopy Cove, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
Mailing Address | Practice Location Address |
---|---|
Sivanta J Paul, MD Po Box 19949, Jacksonville, FL 32245-0949 Ph: (904) 279-1666 | Sivanta J Paul, MD 6817 Southpoint Pkwy Ste 703, Jacksonville, FL 32216-6280 Ph: (904) 279-1666 |
Dr. Aylin Saner Emmert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1650 Prudential Dr Ste 210, Jacksonville, FL 32207 Phone: 904-376-3800 | |
Dr. Justin Michael Mortimer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2732 Trollie Ln, Jacksonville, FL 32211 Phone: 904-289-1254 | |
Caitlin Gardiner, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207 Phone: 917-634-5311 | |
Ansley Caroline Madala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Raj D Sheth, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 807 Children's Way, Jacksonville, FL 32207 Phone: 904-390-3600 Fax: 904-390-3422 | |
Marian A Levai, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11820 Beach Boulevard, Jacksonville, FL 32246 Phone: 904-642-9100 Fax: 904-642-9108 | |
Dr. Riaz Ahmed, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-5800 Fax: 352-384-8014 |