| Prisat Pa | |
|
3685 Crown Point Court Suite 3 Jacksonville FL 32257-5967 | |
| (904) 880-8840 | |
| (904) 880-1994 |
| Full Name | Prisat Pa |
|---|---|
| Speciality | Specialist |
| Location | 3685 Crown Point Court, Jacksonville, Florida |
| Authorized Official Name and Position | Satyen P. Madkaiker (PSYCHIATRIST, PRESIDENT) |
| Authorized Official Contact | 9048808840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisat Pa Po Box 24330 Jacksonville FL 32241-4330 Ph: (904) 880-8840 | Prisat Pa 3685 Crown Point Court Suite 3 Jacksonville FL 32257-5967 Ph: (904) 880-8840 |
| NPI Number | 1275678799 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345283271 |
|---|---|
| Medicare Enrollment ID | O20050602000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275678799 | NPI | - | NPPES |
| 1588629232 | Other | FL | NPI - MADKAIKER |
| 282634 | Other | FL | MAGELLAN IP - MADKAIKER |
| 1134234669 | Other | FL | NPI - SICKINGER |
| 1306867817 | Other | FL | NPI - FORKER |
| BCBS | Other | FL | 06183 |
| Provider Name | Satyen P Madkaiker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588629232 PECOS PAC ID: 2769425602 Enrollment ID: I20050609000452 |
| Provider Name | Prita S Madkaiker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508832361 PECOS PAC ID: 4688617772 Enrollment ID: I20090319000391 |
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