| Dr Ankem Ravindra, MD | |
|
1740 W Us Hwy 90, Ste 101, Lake City, FL 32055 | |
| (386) 752-3400 | |
| (386) 752-3110 |
| Full Name | Dr Ankem Ravindra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 54 Years |
| Location | 1740 W Us Hwy 90, Lake City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427094242 | NPI | - | NPPES |
| 065750600 | Medicaid | FL | |
| 110131270 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME38632 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ankem Ravindra Md Pa | 1951446640 | 5 |
| David C Terrell Jr Arnp, Pa | 4082022041 | 4 |
| Entity Name | Ankem Ravindra Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427380823 PECOS PAC ID: 1951446640 Enrollment ID: O20100305000423 |
| Entity Name | David C Terrell Jr Arnp, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669062899 PECOS PAC ID: 4082022041 Enrollment ID: O20210413001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ankem Ravindra, MD 1740 W Us Hwy 90, Ste 101, Lake City, FL 32055 Ph: (386) 752-3400 | Dr Ankem Ravindra, MD 1740 W Us Hwy 90, Ste 101, Lake City, FL 32055 Ph: (386) 752-3400 |
Dr. Sheel Goswami, Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 352-317-7259 | |
Dr. Nikhita Kathuria-prakash, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 795 Sw State Road 47, Lake City, FL 32025 Phone: 386-401-7066 Fax: 833-933-0709 | |
Waseemullah Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Ter, Suite103, Lake City, FL 32024 Phone: 386-755-1655 Fax: 386-628-9231 | |
Andrea Findlater, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 800-308-8387 | |
Dr. Joseph Frank Mondschein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7414 | |
Dr. Vernon P Montoya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Terr, Suite #103, Lake City, FL 32024 Phone: 386-755-1655 Fax: 386-755-2330 | |
Dr. Maria Criselda Borlongan Zaldivar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1283 Sw Sr 47, Suite 102, Lake City, FL 32025 Phone: 877-377-5602 Fax: 386-754-1741 |