Dr Anjali Anil Pathak, MD - Medicare Psychiatry in Jacksonville, FL

Dr Anjali Anil Pathak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jacksonville, Florida. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Refresh Canopy Cove, Inc and her current practice location is 5251 Emerson St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 399-0324.

Dr Anjali Anil Pathak is licensed to practice in Florida (license number ME62361) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558448928.

Contact Information

Dr Anjali Anil Pathak, MD
5251 Emerson St,
Jacksonville, FL 32207-4932
(904) 399-0324
(904) 399-0420

Map and Direction




Physician's Profile

Full NameDr Anjali Anil Pathak
GenderFemale
SpecialityPsychiatry
Experience43 Years
Location5251 Emerson St, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anjali Anil Pathak graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1558448928
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 04/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5890757793
  • Enrollment ID: I20120314000120

Medical Identifiers

Medical identifiers for Dr Anjali Anil Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558448928NPI-NPPES
23073OtherFLBCBS PROVIDER ID NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ME62361 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME62361 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Refresh Canopy Cove, Inc3779822119105

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. Dr Anjali Anil Pathak allows following entities to bill medicare on her behalf.
Entity NameBaptist Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767
Entity NameRefresh Canopy Cove, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730661752
PECOS PAC ID: 3779822119
Enrollment ID: O20190304000354

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. Dr Anjali Anil Pathak 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 AddressPractice Location Address
Dr Anjali Anil Pathak, MD
5251 Emerson St,
Jacksonville, FL 32207-4932

Ph: (904) 399-0324
Dr Anjali Anil Pathak, MD
5251 Emerson St,
Jacksonville, FL 32207-4932

Ph: (904) 399-0324

Reviews and Comments


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Phone: 904-224-8090    Fax: 904-224-8097

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.