Venkatesan R Gorantla, MD in Jacksonville, FL

Venkatesan R Gorantla, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Jacksonville, Florida. His current practice location is 655 W 8th St Fl Cc6, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (513) 310-2392.

Venkatesan R Gorantla is licensed to practice in Florida (license number ME102628) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659302891.

Contact Information

	Venkatesan R Gorantla, MD
	655 W 8th St Fl Cc6, Jacksonville, FL 32209-6511
	(513) 310-2392
	Not Available

Map and Direction

Physician's Profile

Full Name	Venkatesan R Gorantla
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	655 W 8th St Fl Cc6, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659302891
Provider Enumeration Date: 07/05/2006
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 7618911579
Enrollment ID: I20081215000635

Medical Identifiers

Medical identifiers for Venkatesan R Gorantla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659302891	NPI	-	NPPES
000000593692	Other	IN	ANTHEM PROVIDER NUMBER
200523260	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	ME102628 (Florida)	Primary

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. Venkatesan R Gorantla allows following entities to bill medicare on his behalf.

Entity Name	The Methodist Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526

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. Venkatesan R Gorantla 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
Venkatesan R Gorantla, MD 655 W 8th St Fl Cc6, Jacksonville, FL 32209-6511 Ph: (513) 310-2392	Venkatesan R Gorantla, MD 655 W 8th St Fl Cc6, Jacksonville, FL 32209-6511 Ph: (513) 310-2392

Reviews and Comments

Pediatrics Doctors in Jacksonville, FL

Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994

Venkatesan R Gorantla, MD - Medicare Pediatrics in Jacksonville, FL