<unavail> in Tampa, FL - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Tampa, Florida. The current practice location for is 507 E Dr Martin Luther King Jr Blvd, 112, Tampa, Florida. For appointments, you can reach them via phone at (813) 229-6139. The mailing address for is 3301 Bayshore Blvd Unit 2207b, Tampa, Florida and phone number is (718) 483-2934.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629208509. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (813) 229-6139.

Contact Information


	507 E Dr Martin Luther King Jr Blvd 112 Tampa FL 33603-3932
	(813) 229-6139
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	507 E Dr Martin Luther King Jr Blvd, Tampa, Florida
Authorized Official Name and Position	Durga P Chintakayala (PHYSICIAN)
Authorized Official Contact	8133247029
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3301 Bayshore Blvd Unit 2207b Tampa FL 33629-8840 Ph: (718) 483-2934	507 E Dr Martin Luther King Jr Blvd 112 Tampa FL 33603-3932 Ph: (813) 229-6139

NPI Details:

NPI Number	1629208509
Provider Enumeration Date	07/25/2009
Last Update Date	12/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	9537577689
Medicare Enrollment ID	O20210409001478

Medical Identifiers

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

Identifier	Type	State	Issuer
1629208509	NPI	-	NPPES
014416300	Medicaid	FL
456160000	Other	NY	PRI
02625189	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	ME112476 (Florida)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Durga Chintakayala
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1083642078 PECOS PAC ID: 0345299566 Enrollment ID: I20210409001638

Reviews and Comments

Family Medicine in Tampa, FL

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Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176
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- Medicare Primary Care in Tampa, FL