| Dr Anjali Anil Pathak, MD | |
|
5251 Emerson St, Jacksonville, FL 32207-4932 | |
| (904) 399-0324 | |
| (904) 399-0420 |
| Full Name | Dr Anjali Anil Pathak |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5251 Emerson St, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558448928 | NPI | - | NPPES |
| 23073 | Other | FL | BCBS PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME62361 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME62361 (Florida) | Secondary |
| Entity Name | Baptist Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767 |
| Entity Name | Optum Behavioral Care of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110 |
| Mailing Address | Practice 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 |
Dr. Aylin Saner Emmert, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1650 Prudential Dr Ste 210, Jacksonville, FL 32207 Phone: 904-376-3800 |
Dr. Justin Michael Mortimer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2732 Trollie Ln, Jacksonville, FL 32211 Phone: 904-289-1254 |
Kelvin Tran, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 145 Heron Bay Rd, Jacksonville, FL 32218 Phone: 904-470-6900 |
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 |
Dr. Riaz Ahmed, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-5800 Fax: 352-384-8014 |