| Dr Isuru Sampath Jayaratna, MD | |
|
1301 Palm Ave Ste 500, Jacksonville, FL 32207-8457 | |
| (904) 202-7300 | |
| (904) 202-2754 |
| Full Name | Dr Isuru Sampath Jayaratna |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 1301 Palm Ave Ste 500, Jacksonville, 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 |
|---|---|---|---|
| 1578884128 | NPI | - | NPPES |
| 130293200 | Medicaid | FL | |
| 349374401 (MDACC) | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME178653 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Md Anderson Cancer Physicians Inc | 5991932063 | 120 |
| United Health Services Hospitals, Inc. | 5193610533 | 464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isuru Sampath Jayaratna, MD Po Box 746654, Atlanta, GA 30374-6654 Ph: (904) 202-2092 | Dr Isuru Sampath Jayaratna, MD 1301 Palm Ave Ste 500, Jacksonville, FL 32207-8457 Ph: (904) 202-7300 |
Amanda Elizabeth Black, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Yeonsoo Sara Lee, MD Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Eric Alee Vance Qualkenbush, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Daniela Andrea Haehn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Khue Anh Minh Tran, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922 |