| Dr Gautam Jayram, MD | |
|
2801 Charlotte Ave, Nashville, TN 37209 | |
| (615) 250-9200 | |
| (615) 250-9251 |
| Full Name | Dr Gautam Jayram |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 2801 Charlotte Ave, Nashville, Tennessee |
| 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 |
|---|---|---|---|
| 1265669683 | NPI | - | NPPES |
| 55171600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D74312 (Maryland) | Secondary |
| 208800000X | Urology | 125-051491 (Illinois) | Secondary |
| 208800000X | Urology | 51217 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Pc | 2961392931 | 38 |
| Entity Name | Urology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043297542 PECOS PAC ID: 2961392931 Enrollment ID: O20040316000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gautam Jayram, MD Po Box 409879, Atlanta, GA 30384 Ph: (615) 261-6000 | Dr Gautam Jayram, MD 2801 Charlotte Ave, Nashville, TN 37209 Ph: (615) 250-9200 |
Ruchika Talwar, Urology Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 | |
Kenya Lana Kimber, LPN Urology Medicare: Not Enrolled in Medicare Practice Location: 1310 24th Ave S, Nashville, TN 37212 Phone: 615-327-4751 | |
Robert B Barnett, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2801 Charlotte Ave, Nashville, TN 37209 Phone: 615-250-9200 Fax: 615-250-9251 | |
Alberic Rogman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2801 Charlotte Ave, Nashville, TN 37209 Phone: 615-250-9200 Fax: 615-250-9251 | |
Raoul S Concepcion, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 28 White Bridge Rd, Suite 200, Nashville, TN 37205 Phone: 615-290-0622 | |
Douglas Milam, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Douglas C Altenbern Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 395 Wallace Rd, Ste 206b, Nashville, TN 37211 Phone: 615-331-8281 Fax: 615-331-3043 |